Operative treatment of old acetabular fractures / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 386-388, 2010.
Article
in Zh
| WPRIM
| ID: wpr-297842
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the operative methods and effects of treatment of old acetabular fractures.</p><p><b>METHODS</b>From October 2001 to October 2007, 26 patients with old acetabular fractures were treated with operation including 21 males and 5 females with an average age of 34 years ranging from 18 to 65 years. On the basis of the three-dimensional computed tomography, all cases were diagnosed and classified according to Letourne-Judet classification, 9 cases were posterior wall fracture, 3 cases were lateropulsition fracture, 7 cases were lateropulsition and posterior wall fracture, 2 cases were posterior column and posterior wall fracture, 2 were T-shape fracture, 3 were dual column fracture. These patients were treated through the anterior,posterior, combined anterior-posterior approaches. The time from injured to operation was 33 to 141 days (averaged 36.4 days). All the fractures were fixed with screws and AO reconstruction plates.</p><p><b>RESULTS</b>All patients were followed up for 6 to 96 months, with an average time of 32.4 months. Evaluated according to Matta criteria, the results of scores was (5.04 +/- 1.04) on pain, (5.23 +/- 0.76) on range of motion, (4.92 +/- 1.16) on walking,and tatal (5.06 +/- 0.99) on average; The functional results of hip joints were excellent in 6 cases, good in 10 cases, fair in 6 cases, and poor in 4 cases. Sciatic nerve injury was found in 2 patients,lateral femoral cutaneus nerve injury in 3 patients, necrosis of femoral head in 1 patient,infection in 1 patient, and ectopic bone formation in 6 patients.</p><p><b>CONCLUSION</b>Good clinical results can be obtained by careful selection of operative indications of old acetabular fractures in combination with proper operative approach and correct reduction and fixation.</p>
Full text:
1
Index:
WPRIM
Main subject:
Postoperative Complications
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General Surgery
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Time Factors
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Wounds and Injuries
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Follow-Up Studies
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Fractures, Bone
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Acetabulum
Type of study:
Observational_studies
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Prognostic_studies
Limits:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
Language:
Zh
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2010
Type:
Article