[Results in surgically managed severe hip-dislocation fractures].

Following operative reconstruction in 11 German clinics working together on questions concerning osteosynthesis, 190 fractures of the hip socket were examined. The total results of all fracture types showed, with 60% very good to good, 15% satisfactory and 25% poor results, clear improvement as compared with purely conservative therapy. Practically two-thirds of the unsatisfactory results were due to traumatic injury followed by necrosis of the ball of the femoral head. Additional improvement of the results is possible by refined operative techniques, broader differentiation of the indications, and especially by a shortening of the interval between the time of accident and the osteosynthesis of the acetabulum.