Operative management of acetabular fractures in Oxford

Deo, Sunny; Tavares, Sergio; Pandey, R.; El-Saied, Ghada Mohamed Samir; Willett, Keith; Worlock, P

doi:10.1016/s0020-1383(00)00200-x

Cited by 67 publications

(62 citation statements)

References 20 publications

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“…Overall, 74.6% of our patients had excellent/good results (Harris Hip Score>80). Table 3 compares our results with the other reported series [4,5,8,14,21,22,24].…”

Section: Discussionsupporting

confidence: 53%

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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“…Overall, 74.6% of our patients had excellent/good results (Harris Hip Score>80). Table 3 compares our results with the other reported series [4,5,8,14,21,22,24].…”

Section: Discussionsupporting

confidence: 53%

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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“…Sciatic nerve injury on presentation has been reported as high as 23% [17]. However, in the cases reported following sports (Table 1), only one case of sciatic nerve palsy affecting the peroneal nerve component was documented [5].…”

Section: Discussionmentioning

confidence: 99%

Posterior Fracture-Dislocation of the Hip in Sports

Giannoudis

Zelle

Kamath

et al. 2003

European Journal of Trauma

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Posterior fracture-dislocation of the hip is a rare injury in sports and is most frequently seen after road traffic accidents. A posterior fracture-dislocation of the hip that occurred in an adult sportsman during rugby is reported. This case illustrates the great forces that can be sustained by the hip joint of rugby players. Operative stabilization led to a stable hip joint allowing early mobilization. Following rehabilitation, the patient returned to light sporting activities after 9 months.

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“…Letournel and Judet developed the ilioinguinal approach, which was later adopted by many others as the principal anterior surgical approach for open reduction and internal fixation of acetabulum fractures. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Anatomic reduction rates following that procedure were reported as ranging between 45% and 74%. 5,14 Rives et al 17 and Stoppa et al 18 first described the use of an intra-abdominal surgical approach for the repair of groin hernias.…”

Section: Introductionmentioning

confidence: 99%