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SA Orthopaedic Journal

versão On-line ISSN 2309-8309
versão impressa ISSN 1681-150X

SA orthop. j. vol.8 no.2 Pretoria Jan. 2009




Posterior fracture dislocation of the hip joint in motor vehicle occupants



DM SelveyI; GM SibotoII; J WaltersIII

IConsultant Orthopaedic Surgeon, Alexandra Hospital, Redditch, UK
IIConsultant Orthopaedic Surgeon, Groote Schuur Hospital, Cape Town
IIIProfessor and Head of Orthopaedics, Groote Schuur Hospital, Cape Town





Between July 1994 and January 2000 one hundred and ten posterior fracture dislocations in 109 patients presenting to Groote Schuur Hospital required open reduction and internal fixation.
Motor vehicle accidents accounted for 88 (80%) of the injuries equally divided between drivers and passengers. Eighty-one per cent of comminuted grade III injuries occurred on the right side. Of these, 71.5% occurred in vehicle drivers. Only 48% of the simple fractures were right-sided and 64% occurred in passengers.
We concluded that the driver of a motor vehicle is more likely to sustain a right-sided fracture dislocation which is of greater severity than other occupants. These findings should alert the motor industry to take steps to minimise this injury.



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David Selvey
Woodend House
Grafton Flyford
United Kingdom



Department Orthopaedic Surgery, Groote Schuur Hospital, Cape Town, South Africa
The authors have taken an active role in the compilation of this article and are willing to discuss it in detail.
The authors further confirm that the article is original, that it is not under consideration by another journal, and that it has not been previously published.
No financial support of this project has been or will be received.

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