J Trauma
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Case Reports
Central acetabular fracture-dislocation secondary to an epileptic seizure in a chronic renal patient.
An unusual mechanism of injury for a central acetabular fracture-dislocation is reported in a patient with chronic renal insufficiency. The combination of renal osteodystrophy and an epileptic seizure resulted in such an injury as a complication of renal dialysis. Skeletal traction and a prolonged period of non-weight bearing produced a satisfactory result.
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External counterpressure is a safe and effective method to treat shock and restore central circulation. Experience with the short-term use of MAST has been favorable. ⋯ The development of compartment syndrome requiring amputation is reported in two patients with associated leg fractures. This unfortunate experience suggests that the sustained use of MAST in patients with shock and comminuted lower extremity fractures may jeopardize limb survival.