Functional Outcome after Operative Treatment of Displaced Fractures of the Acetabulum: A 12-month to 5-year Follow-up Investigation

Giordano, Vincenzo; Amaral, Ney Pecegueiro do; Franklin, Carlos Eduardo; Pallottino, Alexandre; Albuquerque, Rodrigo Pires e; Giordano, Mario

doi:10.1007/s00068-007-6092-y

Cited by 15 publications

(17 citation statements)

References 44 publications

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“…The post-traumatic arthritis, despite the early hip mobilization, is greater in the elderly than in young patients [3]. Moreover, all the complications seen in the ORIF group are found in the literature [16] as well as those in the THA group [17]. The poor bone quality of the osteoporotic bone and the subchondral hematoma make the anatomical reduction very difficult [18].…”

Section: Discussionmentioning

confidence: 99%

Total hip arthroplasty vs. osteosynthesis in acute complex acetabular fractures in the elderly: Evaluation of surgical management and outcomes

Carta

Falzarano

Rollo

et al. 2016

JAD

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Objective: To retrospectively evaluate the open reduction internal fixation and total hip arthroplasty directions, results and complications associated with internal fixation in managing these fractures. Methods: In 8 years at 4 centers, 61 patients with associated acetabular fractures (Letournel classification) were treated. The patients were divided into two groups. The total hip arthoplasty (THA) group consisted of 30 patients, while the open reduction internal fixation group had 31 patients. The average age of the patients was 74.7 years. The following parameters were compared: the duration of surgery and hospitalization, the international unit of red blood cell concentrate transfusion, the time for the verticalization of the patient, perioperative complications, Harris hip score, and the short form (12) health survey. The clinical and radiographic follow-up was performed at 1 month, 3 months, 6 months and 12 months and annually thereafter. Patients with post-traumatic osteoarthritis formed the third comparison group. P ≤ 0.05 was considered statistically significant according to the analytical Student's t-test. Results: The P < 0.05 in favor of the THA group was: surgical time, length of stay, number of the international unit of red blood cell concentrate transfusions, verticalization, quality of life and hip function, a reduction of perioperative complications and reinterventions. Conclusions: Our experience shows that the THA treatment for acetabular fractures in the elderly is to be preferred.

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Section: Discussionmentioning

confidence: 99%

Total hip arthroplasty vs. osteosynthesis in acute complex acetabular fractures in the elderly: Evaluation of surgical management and outcomes

Carta

Falzarano

Rollo

et al. 2016

JAD

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“…Mean Age (in yrs) S. D. Deo et al 8 16 -81 36 Vincenzo Giordano et al 9 18 -79 35 M.L.Chip Routt et al 10 14 -79 30 Albuquerque et al 10 23 -68 40 A. Kumar et al 11 15 -76 39.5 George Petsatodis 12 18 -71 37.8 Chuan-Mu Chen 13 19 -72 43 Joel M Matta 14 11 -90 37 A.Moroni et al [15] 18 -63 32 Our Study 18 -65 35.69 Table 6: Comparison of the age wise distribution of the cases in our present study with the other studies Majority of the fractures in our study were Bicolumnar i.e.,24 patients (43.6%), followed by posterior column fractures in 15 patients (27.3%), posterior wall fractures in 10 patients (18.1%), transverse fractures in 5 patients (9.1%) and anterior column fracture in one patient (1.8%). The comparison with other studies with regard to the type of fracture is shown in the table below.…”

Section: Age Of Patients (In Yrs)mentioning

confidence: 99%

“…(4,5) In the earlier days, as the anatomy of the pelvis and acetabulum was poorly understood, the acetabular fractures were managed conservatively and hence the outcome was poor as the anatomical reduction could not be attained. As the medical science has advanced the newer diagnostic tools like the CT scan have helped us to analyse the three dimensional disturbance in the normal anatomy and plan the surgical management accordingly.…”

Section: Introductionmentioning

confidence: 99%

“…(4) In 1960, Judet first suggested that open reduction and internal fixation be done in all cases of displaced acetabular fractures to achieve accurate reduction.…”

Section: Introductionmentioning

confidence: 99%

“…In short, experience of the surgeon has a vast role in attaining anatomical reduction of the fracture. (1,4) The morbidity in acetabular fractures is significantly high. Hemorrhage is the most immediate and perilous complication.…”

Section: Introductionmentioning

confidence: 99%

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Functional Outcome of Surgical Management of Acetabular Fractures by Internal Fixation

Sagar¹,

Avinash²,

Gubbi³

et al. 2015

jemds

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BACKGROUND:The treatment of acetabular fractures has seen major advances in the field of orthopaedic traumatology. Conservative treatment of acetabular fractures leads to poor results. Newer diagnostic tools like the Computed Tomography (CT) scan help in analyzing the three dimensional disturbance in the normal anatomy and plan the surgical management accordingly. In recent years operative treatment has become the treatment of choice in the management of acetabular fractures as precise anatomical reduction with adequate internal fixation can be attained. OBJECTIVES:To evaluate the functional outcome of operatively managed acetabular fractures, and assess the efficacy of operative fixation of acetabular fractures, and also study the complications of operative fixation of acetabular fractures. MATERIALS AND METHODS: Fifty five patients (49 male & six female) admitted to Sanjay Gandhi Institute of Trauma and Orthopaedics with acetabular fractures underwent open reduction and internal fixation. All patients were evaluated with Matta et al score with a minimum of follow up of six months. RESULTS: There were 24 (43.6%) patients with bicolumnar fractures, 15(27.3%) had posterior column fractures, 10(18.1%) had posterior wall fractures, five (9.1%) had transverse fractures, and one (1.8%) patient had an anterior column fracture. Full weight bearing was attained in thirty five (63.6%) patients in 16 weeks and in twenty (36.4%) patients after 16 weeks. Forty five (81.8%) patients were free of complications. According to Matta et al score 27(49.1%) had excellent, 15(27.3%) had good, nine (16.4%) had fair, and four (7.3%) had poor results. CONCLUSION: Open reduction and internal fixation of acetabular fractures is a reliable technique, minimizes healing time and provides congruent joint reduction. Operative treatment of acetabular fractures results in predictable union and good clinical results with a low rate of complications.

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Is it possible that most of the displaced acetabular fractures can be managed through a single ilioinguinal approach? 2–7 Years experience results

Ayoub

2010

Eur J Orthop Surg Traumatol

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Functional Outcome after Operative Treatment of Displaced Fractures of the Acetabulum: A 12-month to 5-year Follow-up Investigation

Cited by 15 publications

References 44 publications

Total hip arthroplasty vs. osteosynthesis in acute complex acetabular fractures in the elderly: Evaluation of surgical management and outcomes

Total hip arthroplasty vs. osteosynthesis in acute complex acetabular fractures in the elderly: Evaluation of surgical management and outcomes

Functional Outcome of Surgical Management of Acetabular Fractures by Internal Fixation

Is it possible that most of the displaced acetabular fractures can be managed through a single ilioinguinal approach? 2–7 Years experience results

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