Marginal impaction is an important cause of articular incongruity that adversely affects prognosis. Radiologists should be capable of identifying posterior acetabular wall fracture patterns because they may be the first to suggest diagnoses.
Objectives: The purpose of this study was to review the epidemiological aspects of displacement fractures of the acetabulum that had been treated surgically at the National Institute of Traumatology and Orthopedics (INTO). Methods: We retrospectively analyzed 126 acetabulum fractures that had been treated surgically at INTO between March 2006 and November 2008. The following factors were taken into account: age, sex, trauma mechanism, injury classification, time elapsed between trauma and surgery, affected side and associated bone injuries. Results: 76.8% were male; the mean age was 39.6 years. The trauma mechanism was traffic accidents in 59%; the time that elapsed between injury and surgery was on average 16.4 days; 55% of the cases were on the right side; 30% of the patients presented associated fractures. Conclusion: Most of the patients were male, in an economically active age group, and were victims of traffic accidents. Edge and/or posterior column fractures were the most frequent types. Associated injuries were common and most of the fractures operated in our service came to us late.
INTRODUçãONos últimos 40 anos, o tratamento das fraturas desviadas do acetábulo passou de não-cirúrgico para uma abordagem preferencialmente cirúrgica. A partir da contribuição de Letournel (1) , a redução anatômica aberta, seguida de fixação interna rígida, passou a ser considerada como padrão ouro no tratamento das fraturas desviadas do acetábulo.Antes do advento do automóvel e da motocicleta na vida moderna, esse tipo de lesão era causada essencialmente por forças em diferentes graus de intensidade em adução ou abdução do membro inferior, associadaRev Bras Ortop. 2010;45(5):474-7
InTRODUçãOA fixação iliosacral com parafuso é um método bem estabelecido para a estabilização para as lesões posteriores do anel pélvico (1) . Inserido de forma percutânea após uma redução fechada ou aberta, o parafuso iliosacral pode ser fixado ao corpo de S1, de S2 ou transfixando o ilíaco contralateral, passando por esses dois corpos vertebrais (2) .Dado o carater percutâneo da técnica, esse método depende de imagem fluoroscópica de bom padrão de qualidade, no intuito de se posicionar o parafuso dentro do "corredor de segurança anatômico", evitando-se, dessa forma, potenciais lesões iatrogênicas às estruturas neurovasculares adjacentes à fixação sacral (3) .Falta de planejamento pré-operatório; utilização inadequada da técnica; imagens fluoroscópicas de baixa Rev Bras Ortop. 2011;46(Suppl 1):40-3
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.