Clinical and radiologic results of surgically-treated acetabular fractures
Küçük Resim Yok
Tarih
2003
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
OBJECTIVES: We evaluated the functional and radiologic results of surgical treatment in patients with displaced acetabular fractures. METHODS: The study included 21 patients (13 males, 8 females; mean age 35 years; range 21 to 63 years). Before surgery, all the patients were evaluated with anteroposterior, iliac, and obturator oblique views and computed tomography scans. According to the Letournel-Judet classification, the fractures were simple in 10 patients and complex in 11 patients. Twelve patients had posterior wall and/or the posterior column fractures. Four patients underwent closed reduction under emergency settings for accompanying posterior dislocations. The mean time to surgery was 4.8 days (range 1 to 13 days). Surgery was performed by the Kocher-Langenbeck approach (n=12), a triradiate approach (n=5), and a modified extended iliofemoral approach (n=4). Functional results were assessed by the D'Aubigne-Postel's knee scoring system and radiologic results using anteroposterior, iliac, and obturator oblique views. The mean follow-up was 31 months (range 19 to 64 months). RESULTS: Functional results were excellent in eight patients (38.1%), good in seven (33.3%), satisfactory in four (19.1%), and poor in two patients (9.5%). Radiologic examination showed posttraumatic arthrosis in four patients (19.1%), heterotopic ossification in three patients (14.3%), and avascular necrosis in two patients (9.5%). Radiologic results were excellent and good in 16 patients (76.2%), satisfactory in three patients (14.3%), and poor in two patients (9.5%). CONCLUSION: Clinical and radiologic results showed concordance. The presence of dislocations and inadequate reduction were associated with poor functional results.
Açıklama
Anahtar Kelimeler
acetabulum, adult, article, computer assisted tomography, evaluation, female, fracture, fracture fixation, heterotopic ossification, human, injury, injury scale, joint characteristics and functions, male, middle aged, pathology, postoperative complication, radiography, treatment outcome, Turkey (republic), Acetabulum, Adult, Female, Fracture Fixation, Fractures, Bone, Humans, Injury Severity Score, Male, Middle Aged, Ossification, Heterotopic, Postoperative Complications, Range of Motion, Articular, Tomography, X-Ray Computed, Treatment Outcome, Turkey
Kaynak
Acta orthopaedica et traumatologica turcica
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
37
Sayı
2
