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

Mardanpour, Keykhosro; Rahbar, Mahtab; Rahbar, Maryam; Mardanpour, Nyosha; Mardanpour, Sourena

doi:10.4236/ojo.2016.612049

Cited by 4 publications

(4 citation statements)

References 47 publications

(28 reference statements)

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“…Our study results showing excellent functional outcome in 50% of patients, is similar to a previous study of 200 patients with complex acetabular fractures (74.6%) 12 and a meta-analysis of 16 studies (50.3%). A comparative analysis of the functional results of acetabular fractures treated with internal fixation in this study showed comparable results to the meta-analysis by Giannoudis, et al using the Harris hip score and the Merle d aubigne score with a p-value of 0.6281 and 0.3734 respectively (Table 8).…”

Section: Discussionsupporting

confidence: 91%

Functional Outcome of Surgically-Managed Pelvic Ring Fractures and Acetabular Fractures by Internal Fixation in a Tertiary Hospital in the Philippines 2014–2019

Badilles

Monicit²

2021

Acta Med Philipp

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Objective. To evaluate morbidity and functional outcome of surgically treated pelvic fractures and acetabular fractures in our institution. Methods.A chart review was done to identify subjects with pelvic and acetabular injuries treated with open reduction and internal fixation from 2014-2019. We collected data for blood loss, time of surgery, post-surgical intervention, and the Majeed score functional outcome score.Results. We included 11 patients (8 males, 3 females; mean age 38 years) with range of follow up of 1 to 6 years. We performed a functional assessment using the Majeed functional outcome score. The mean score was 81 ± 18 points (range, 53 to 100). Excellent clinical results were seen in 63% of cases (100% of pelvic fractures and 50% of acetabular fractures). Conclusion.There was excellent functional outcome of patients treated with internal fixation.

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Section: Discussionsupporting

confidence: 91%

Functional Outcome of Surgically-Managed Pelvic Ring Fractures and Acetabular Fractures by Internal Fixation in a Tertiary Hospital in the Philippines 2014–2019

Badilles

Monicit²

2021

Acta Med Philipp

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“…A number of studies have focused on the biomechanical consequences of acetabular fracture [28][29][30][31][32]. These studies can be divided into those focusing on.…”

Section: Biomechanical Consequences Of Acetabular Fracturementioning

confidence: 99%

“…Several studies have focused on the alteration of contact area and stresses in the joint as a result of the fracture [28][29][30][31][32]. All fracture patterns showed a change from a uniform contact pattern to one of increased contact area and peak pressures in the superior acetabulum.…”

Section: Intra-articular Contact Characteristicsmentioning

confidence: 99%

Surgical Anatomy of Acetabulum and Biomechanics

Sharma¹,

Mathur²

2020

Essentials in Hip and Ankle

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Both column acetabular fractures are challenging articular injuries. Majority of them are treated operatively. The concept of "secondary congruence" was introduced by Letournel. Despite this, biomechanical data on secondary congruence indicate that nonoperative treatment leads to an increase in peak pressures in the supra-acetabular region with the potential risk of developing posttraumatic degenerative osteoarthritis. Operative management is therefore justified. A cohort of 10 patients having both column (anterior and posterior) acetabular fractures managed using bicolumnar plating between Jan 2016 and Dec 2017 were enrolled in the study and were analyzed during follow-up period. Eighty percent of the patients had excellent to good result. Average postoperative score was 85.7. Assessment was done using Modified Harris Hip score.

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“…Men sustain about 75% of all pelvic injuries. With obese patients, the risk of blunt trauma-related pelvic fracture rises 3 .…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Bicolumnar Acetabular Fracture Treated by Single Anterior Ilioinguinal Approach

2023

PJMD

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Background: Acetabular fracture therapy, being complicated, is generally treated by non-operative methods due to a lack of surgeons’ expertise in pelvis surgery. The surgical exposure and reduction of acetabular fractures may become more direct and practical with the altered technique since it is closer to the acetabular quadrilateral plate. This study aimed to determine the efficacy of a single anterior illio-inguinal approach for the management of a Bi-columnar acetabulum fracture. Methods: Sixty patients, fulfilling the selection criteria were selected for descriptive case series from Orthopedic Surgery Department at Lahore General Hospital, from 02-12-2020 to 02-06-2021. After informed consent, surgery was performed on all patients under general anesthesia. Patients were followed-up and evaluated for efficacy in OPD after 12 weeks of surgery with a Harris hip score. All demographic and other information was recorded on a Proforma. SPSS 22 was used to assess data. Post-stratification, efficacy was compared by using chi-square, p-value ≤0.05 was considered significant. Results: Out of 60 patients, 45(75 %) were male, whereas 15(25%) were female (Mean age 52.71±10.50yrs). The Mean of duration fracture (in days) and Harris score are 11.03±5.29 and 2.83±0.45 respectively. The efficacy concerning lateral side was 60% for left side and 26.7% for right side. Efficacy was higher in less than 10 days old fractures at 55.0% while after 10 days it was 31.7%. We found that the percentage of efficacy was 86.7%. Conclusion: The current study concluded that the anterior illio-inguinal approach is highly effective (p=0.001) in the management of acetabular fractures. Keywords: Acetabulum; Pelvic; Fracture; General Surgery.

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

Cited by 4 publications

References 47 publications

Functional Outcome of Surgically-Managed Pelvic Ring Fractures and Acetabular Fractures by Internal Fixation in a Tertiary Hospital in the Philippines 2014–2019

Functional Outcome of Surgically-Managed Pelvic Ring Fractures and Acetabular Fractures by Internal Fixation in a Tertiary Hospital in the Philippines 2014–2019

Surgical Anatomy of Acetabulum and Biomechanics

The Outcome of Bicolumnar Acetabular Fracture Treated by Single Anterior Ilioinguinal Approach

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