Indicators of outcome after internal fixation of complex acetabular fractures

Elkhadrawe, Tarek A; Hammad, Abdullah; Hassaan, A.E.

doi:10.1016/j.ajme.2011.12.005

Cited by 10 publications

(13 citation statements)

References 25 publications

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“…11 On the other hand, Khadrawe et al achieved complete anatomical reduction only in 32.7% of the cases. 15 According to Merle D'Aubigne score, excellent resultswere seen in 56.67% of the cases which was very similar to the study by Moed et al, who found excellent results in 55% of the cases. 40%, 38.1% and 34% excellent results were found by Petsetoidis et al, Elmali et al and Edbaheim et al respectively.…”

Section: -12supporting

confidence: 77%

Analysis of displaced acetabular fractures in adults treated with open reduction and internal fixation

et al. 2016

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Background: The incidence of acetabular fractures is increasing worldwide at a rapid rate due to increase in rail and road traffic accidents and high velocity injuries. The incidence of acetabular fractures is increasing worldwide at a rapid rate due to increase in rail and road traffic accidents and high velocity injuries.Methods: 30 patients aged between 18 to 60 years with closed displaced acetabular fractures were included into the study. A single surgical approach such as the Kocher-Langenbeck, the ilioinguinal, and the extended iliofemoral approach was selected depending on the type of fracture, with the expectation that the fracture reduction and fixation can be completely performed through the one approach.Results: Out of the 30 patients, 12 patients were between the 21-30 age group and 10 were between 31-40 age group with most of them being males involved in road traffic accidents. Predominance of right side was seen in 22 (73, 33%) and 8 (26.66%) persons had left sided fractures. Posterior wall fractures were seen in 5 cases while transverse was seen in 4 cases. Combinations of both were seen in 8 patients. The outcomes were good in more than 56% of the cases and good in more than 30% of them.Conclusions: Present study needs further follow up for better understanding of long term results.

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Section: -12supporting

confidence: 77%

Analysis of displaced acetabular fractures in adults treated with open reduction and internal fixation

et al. 2016

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“…It has the advantage of a simple application during the operation. The routine method is almost unable to achieve fixation to the acetabular fossa and quadrilateral area as well as the 1/3 tube (3,4,12). …”

Section: Discussionmentioning

confidence: 99%

“…We often select a multi-approach (3) or modified ilioinguinal approach (1) to expose this fracture during the operation. Due to the presence of many postoperative complications, the reduction and internal fixation of acetabular both-column fractures though a single anterior approach has been a direction sought by many orthopedic doctors (4,5). …”

Section: Introductionmentioning

confidence: 99%

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Biomechanical analysis of the acetabular buttress-plate: are complex acetabular fractures in the quadrilateral area stable after treatment with anterior construct plate-1/3 tube buttress plate fixation?

Wu¹,

Cai²,

Liu³

et al. 2013

Clinics

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OBJECTIVE:The acetabular buttress-plate has been widely used in treating difficult cases with satisfying clinical results. However, the biomechanical properties of a postoperative acetabular fracture fixed by the buttress-plate are not clear. The purpose of this study was to evaluate the biomechanical properties of stability after the anterior tube buttress-plate fixation of complex acetabular fractures in the quadrilateral area.METHODS:A construct was proposed based on anterior construct plate - 1/3 tube buttress plate fixation for acetabular both-column fractures. Two groups of six formalin-preserved cadaveric pelvises were analyzed: (1) group A, the normal pelvis and (2) group B, anterior construct plate-1/3 tube buttress plate with quadrilateral area fixation. The displacements were measured, and cyclical loads were applied in both standing and sitting simulations.RESULTS:As the load was added, the displacements were A

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“…Peltier reported an incidence of 24% acetabular fractures in his series of adult pelvic fractures. [14] Complex acetabular fracture is not clearly defined in the literature [15]. Some authors restricted its use the term for any fracture that involves both columns of the acetabulum [16]- [24].…”

Section: Introductionmentioning

confidence: 99%

Functional Outcomes of Traumatic Complex Acetabulum Fractures with Open Reduction and Internal Fixation: 200 Cases

Mardanpour¹,

Rahbar²,

Rahbar³

et al. 2016

OJO

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Objective: Acetabular fractures are common injuries in Iran. We assess the functional outcome of open reduction and internal fixation management of displaced Complex acetabular fractures. Materials and Methods: We analyzed a case series of patients with open reduction and internal fixation (ORIF) for complex acetabular fractures. Two hundred patients (132 men, 68 women) in four age groups including with a mean age of 43.39 ± 6.18 years (range 20 -59 years) and a mean follow-up of 82.34 ± 12.48 months (range 18 -109 months) met the inclusion criteria. Functional outcome at final follow-up was graded assessed according to Harris score. Factors affecting were defined. Results: Anatomic reduction was achieved in 192 hips, imperfect in 8 and poor in none. Radiological outcome revealed excellent results in 128 (64%) hips, good in eight, fair in five and none in poor. Harris score were excellent in 139 (69.5%) hips, good in 43 (21.5%) and fair in 18 (9%) and poor in none. The anatomical reduction results had a favorable final functional outcome. (0.003) However, BMI (P < 0.004), fracture pattern (P < 0.004), displaced acetabular fractures (P < 0.005), associated injuries in lower extremity (P < 0.005), finally post-surgery complications (P < 0.001) and adequate physical therapy 364anatomic postoperative reduction. Also experience of specialist, on time surgery and good recovery lead to receiving excellent functional outcome with at least complications.

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Indicators of outcome after internal fixation of complex acetabular fractures

Cited by 10 publications

References 25 publications

Analysis of displaced acetabular fractures in adults treated with open reduction and internal fixation

Analysis of displaced acetabular fractures in adults treated with open reduction and internal fixation

Biomechanical analysis of the acetabular buttress-plate: are complex acetabular fractures in the quadrilateral area stable after treatment with anterior construct plate-1/3 tube buttress plate fixation?

Functional Outcomes of Traumatic Complex Acetabulum Fractures with Open Reduction and Internal Fixation: 200 Cases

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