Displaced Acetabular Fractures

Kebaish, Adel S.; Roy, Alain; Rennie, William

doi:10.1097/00005373-199111000-00014

Cited by 74 publications

(47 citation statements)

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“…It is an accepted fact that the functional results of the displaced acetabular fractures correlate well with the quality of reduction and that open reduction is the best method to achieve congruity [3,10,11,13,15,18,20,21,23,27]. In our series also, radiographic congruity (76.19%) correlated well with the function (74.6%) ( Table 1).…”

Section: Discussionsupporting

confidence: 71%

Results of operative treatment of acetabular fractures from the Third World—how local factors affect the outcome

Gupta

Singh

Dev

et al. 2007

International Orthopaedics (SICOT)

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The objective of this study was to assess the outcome of operations on acetabular fractures from a developing country in the presence of locally available facilities. Sixty-three acetabular fractures were assessed at an average follow up of 52.94 months after operation. Twentysix patients operated upon in the first three years and 37 operated thereafter were separately studied to discover the effect of the learning curve. Regarding the fractures, 47 of 63 (74.6%) had excellent/good results (Harris Hip Score>80). The complications included broken drill bit in eight patients (12.69%), deep infection and heterotopic ossification in five patients (7.93%), avascular necrosis and sciatic nerve palsy in two patients (3.17%) and implant failure in one patient (1.58%). The results collected during the learning curve were inferior in the complex fractures (p value<0.001). Complications were common in patients opting for local implants and in those operated after over 2 weeks delay.Résumé Le but de ce travail est d'évaluer le traitement des fractures de l'accétabulum dans un pays développé. Matériel et méthode : 63 fractures de l'accétabulum ont été suivies en moyenne pendant 52,94 mois. 26 patients ont été opérés dans les trois premières années de notre expérience et les 37 autres patients opérés trois ans après que nous ayons commencé ce type de traitement, ceci afin d'évaluer de façon séparée les effets de notre courbe d'apprentissage. 47 sur 63 (74,6%) ont eu un excellent/ bon résultat avec un score de Harris supérieur à 80. Les complications ont été les suivantes : 8 fractures de mèches (12,69%), 5 infections profondes (7,93%) et 7 ossifications hétérotypiques (7,93%), 2 nécroses de la tête fémorale et 2 paralysies sciatiques (3,17%) une dans chaque groupe. Enfin, un débricolage chez un patient (1,58%). Les résultats selon la courbe d'apprentissage sont moins bons dans des fractures complexes (p<0.001) en début de pratique. Les complications sont plus habituelles chez les patients ayant bénéficié de la mise en place d'implants ou chez ceux opérés après 2 semaines de délai.

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Section: Discussionsupporting

confidence: 71%

Results of operative treatment of acetabular fractures from the Third World—how local factors affect the outcome

Gupta

Singh

Dev

et al. 2007

International Orthopaedics (SICOT)

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“…[2][3][4][5][6][7][8][27][28][29][30][31] Two of the authors (RM, NKK) independently assessed the suitability of the manuscripts, which were retrieved from PubMed using the keywords 'anterior column', 'anterior wall' and 'acetabular fracture'. Wherever there was discrepancy in the reviewers' opinion after reviewing the abstracts, the whole manuscript was screened and a consensus reached.…”

Section: Discussionmentioning

confidence: 99%

The surgical treatment of anterior column and anterior wall acetabular fractures

Giannoudis

Kanakaris

Dimitriou

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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Isolated fractures of the anterior column and anterior wall are a relatively rare subgroup of acetabular fractures. We report our experience of 30 consecutive cases treated over ten years. Open reduction and internal fixation through an ilioinguinal approach was performed for most of these cases (76.7%) and percutaneous techniques were used for the remainder. At a mean follow-up of four years (2 to 6), 26 were available for review. The radiological and functional outcomes were good or excellent in 23 of 30 patients (76.7%) and 22 of 26 patients (84.6%) according to Matta's radiological criteria and the modified Merlé d'Aubigné score, respectively.Complications of minor to moderate severity were seen in six of the 30 cases (20%) and none of the patients underwent secondary surgery or replacement of the hip.

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“…Generally, internal fixation should be performed within the first 10 days of trauma provided the patient is surgically fit 6 . Surgery may be delayed if patient is not fit, but it is advisable to perform the surgery within three weeks as there are difficulties in accurate reduction after this period 7,8 . The outcome after surgery also depends on the experience of the surgeon.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Surgical Treatment for Displaced Acetabular Fractures

Anizar-Faizi

Hisam

et al. 2014

MOJ

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The aim of this study was to assess the outcome of surgical treatment in displaced acetabular fractures in our local facilities. Previous studies reveal good outcome via open reduction method with achievement of congruent joint. We note that studies in this respect have not been conducted in our region. We retrospectively analyzed thirty patients with acetabular fractures who underwent open reduction and internal fixation. The data collection was performed over a 4-year period, from 2008 to 2011. The results showed 20 out of 30 patients (66.7%) had excellent/good results (Harris Hip Score equal or more than 80). Post operative complications were deep infection (6.7%), iatrogenic sciatic nerve injury (10.0%), avascular necrosis (16.7%), heterotopic ossificans (3.3%), degenerative changes in hip joint (43.3%) and loss of reduction (3.3%). In conclusion, surgical treatment of displaced acetabular fractures produces good functional outcome despite the complications.

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Displaced Acetabular Fractures

Cited by 74 publications

References 0 publications

Results of operative treatment of acetabular fractures from the Third World—how local factors affect the outcome

Results of operative treatment of acetabular fractures from the Third World—how local factors affect the outcome

The surgical treatment of anterior column and anterior wall acetabular fractures

Outcome of Surgical Treatment for Displaced Acetabular Fractures

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