Surgically treated acetabular fractures via a single posterior approach with a follow-up of 2–10 years

Petsatodis, George; Antonarakos, Petros; Chalidis, Byron; Papadopoulos, Pericles; Christoforidis, John; Pournaras, J.

doi:10.1016/j.injury.2006.09.017

Cited by 59 publications

(36 citation statements)

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“…40%, 38.1% and 34% excellent results were found by Petsetoidis et al, Elmali et al and Edbaheim et al respectively. [23][24][25] Most of present patients were encouraged to sit on the bed and do knee range of movements within 36 hours of the surgery and allowed to walk by 6 weeks after the surgery. In patients with poor bone quality and/or associated fractures, mobilization was delayed.…”

Section: -12mentioning

confidence: 99%

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: -12mentioning

confidence: 99%

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

et al. 2016

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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%

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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“…For example, an extended or combined approach can be used in the patients with wide displacement in both the anterior and posterior columns of the acetabulum [10,11]. The most studies reported good to excellent functional outcomes in 71-88% patients after surgical treatment of acetabular fractures [12][13][14][15]. The important prognostic factors to influence clinical outcome include associated fracture type, damage to the femoral head, associated injuries, dislocation at the time of injury, inadequate fracture reduction, age, development of heterotopic ossification, and a delay in surgical treatment [16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

“…There are several studies on the outcome of operative management of acetabular fractures in different parts of the world [9][10][11][12][13][14][15][16][17][18][19][20][21], however limited data are available in our country about this mater. Thereafter, the aim of this study is to report our results of a 7-year experience of surgical treatment for acetabular fractures in the elderly population at two tertiary referral centers of Southern Iran.…”

Section: Introductionmentioning

confidence: 99%

Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience

Mesbahi

Ghaemmaghami

et al. 2018

BEAT

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Objective: To determine the functional and radiologic results of surgical treatment in patients with acetabular fractures. Methods: This was a retrospective cross-sectional study. We retrospectively reviewed medical records of patients operatively treated acute acetabular fractures at a level I trauma center (Shahid Rajaee) and an orthopedic center (Shahid Chamran) both in southern Iran (Shiraz) with minimally 1 year follow up over a period of 7 years from April 2009 to March 2016. Functional and radiographic outcomes, and complication were considered as main outcomes. Results: A total number of 79 patients completed the study. Fifty-five patients were operated through KocherLangenbeck approach, and 18 were operated through the standard ilioinguinal approach, and 6 patients were operated through the standard ilioinguinal approach combined with Kocher-Langenbeck approach. The mean follow-up of patients was 45.6 months. The average operative time was 162.4±78.5 min, and the median blood loss was 500 ml. Functional results were excellent in 41 patients (51.9%), good in 12 (15.2%), fair in 13 (16.5%), and poor in 13 patients (16.5%). Radiologic results were excellent in 27 cases (34.2%), good in 17 cases (21.5%), fair in 18 cases (22.8%), and poor in 16 (16.5%). Osteoarthritis of hip (60.8%) and AVN of head of femur (22.8%) were two most common complications. In addition, there wasn't any significant difference between surgical approaches regarding clinical and radiographic outcomes. Conclusion: The operative treatment for acetabular fractures gives universally satisfactory results. Thereafter, this study provides evidence that ilioinguinal approach is a good choice for anterior fractures, KocherLangenbeck is a good choice for posteriors fractures, and combined approach may be a good choice in the management of acetabular fractures involving two columns.

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Surgically treated acetabular fractures via a single posterior approach with a follow-up of 2–10 years

Cited by 59 publications

References 19 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

Functional Outcome of Surgical Management of Acetabular Fractures by Internal Fixation

Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience

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