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بسم اللـه الرحمن الرحيم

بسم اللـه الرحمن الرحيم. Incidence of the Acetabuar Fracture In AL-Thawra Modern general hospital During 2009 – Sana'a-Yemen. د.سعيد عبد الله بامشموس د. صالح مقبل الفيصلي. Ant. View of ACETABULAM. Post. View of ACETABULAM.

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بسم اللـه الرحمن الرحيم

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  1. بسم اللـه الرحمن الرحيم Incidence of the Acetabuar Fracture In AL-Thawra Modern general hospital During 2009 –Sana'a-Yemen

  2. د.سعيد عبد الله بامشموس د. صالح مقبل الفيصلي

  3. Ant. View of ACETABULAM

  4. Post. View of ACETABULAM

  5. . Callisen in 1788 start to said and to have reported the case of an acetabular fracture

  6. During 2009 70 patients with acetabular fractures

  7. Gender distribution of 70 patients with acetabular fractures 14(20%) 56 cases(80%)

  8. The main cause of fracture is DISLUCATION OF THE HIP

  9. ● this injury is due to massive force transmitted along the femoral shaft, e.g. road traffic accidents or a back injury in someone kneeling.

  10. distribution of 70 patients with acetabular fracture according to mechanism of injury

  11. Type of Dislocation depends on position:

  12. I. Anterior dislocation of hip 7-10% OF DIS NON FRACTURE OF ACETABULAM

  13. II. Posterior dislocation Most common type of dislocation. Posterior rim is usually fractured Associated sciatic nerve injury in 10%

  14. flexed, shortened, adducted and internally rotated

  15. III. CENTRAL dislocation Direct impact to the aspect of the hip through the acetabulum. This is a fracture -dislocation.

  16. Distribution of the acetabualr fracture by age group and gender

  17. I. AP View pelvis

  18. ACETABLUM FEMORAL HEAD FEMORAL NECK GREATER TROCHANTER FOVEA CAPITIS LESSER TROCHANTER CORTICAL BONE MEDULLARY BONE

  19. II. JUDET view OBTURATOR (Internal oblique view)

  20. III . JUDET view Iliac (exteternal oblique view)

  21. WE CAN DIAGNOSED THE FRACTURE IN ONE OF 3 VIEW

  22. CT is a very useful to assessment and planning of surgery.

  23. 70 patients with acetabular fracture accoding to associated injures

  24. Distrubiton of acetabular fracture according to departement of intial admission

  25. associated injury

  26. distribution of complication releated to the associated injury in 27 patients:

  27. We used Letournel ANATOMICAL system classification

  28. Treatment I. Closed reduction ( to reduce pain ) II. SURGICAL

  29. Closed reduction Four methods of closed reduction :

  30. 1.

  31. 2. Allis traction

  32. 3.

  33. 4 .Classical watson`s– jones method :

  34. Skin Traction

  35. Skeletal traction

  36. II. SURGICAL treatment should be considered for: . all displaced fractures of the acetabulum. . that do not meet the criteria for nonoperative therapy.

  37. Orthopaedic Surgeon CanGet You Back Into The Game

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