Results of 75 Consecutive Patients With An Acetabular Fracture

Ridder, Victor A. de; Lange, Sam de; Kingma, L M; Hogervorst, Mike

doi:10.1097/00003086-199408000-00008

Cited by 62 publications

(51 citation statements)

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“…A detailed documentation of the injuries of specific nerves is desired in future studies. One should be aware of other factors with a potential influence on nerve injury risk, for example, such as the level of experience of the surgeon [5] or the country. For example, in Germany, the most experienced surgeon is often the primary operating surgeon, whereas in other countries, the experienced surgeon may be helping a fellow or senior resident to perform the surgery.…”

Section: Discussionmentioning

confidence: 99%

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

Lehmann

Hoffmann

Fensky

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Acetabular fractures and surgical interventions used to treat them can result in nerve injuries. To date, only small case studies have tried to explore the frequency of nerve injuries and their association with patient and treatment characteristics. High-quality data on the risk of traumatic and iatrogenic nerve lesions and their epidemiology in relation to different fracture types and surgical approaches are lacking. Questions/purposes The purpose of this study was to determine (1) the proportion of patients who develop nerve injuries after acetabular fracture; (2) which fracture type(s) are associated with increased nerve injury risk; and (3) which surgical approach was associated with the highest proportion of patients developing nerve injuries using data from the German Pelvic Trauma Registry. Two secondary aims were (4) to assess hospital volume-nerve-injury relationship; and (5) internal data validity. Methods Between March 2001 and June 2012, 2236 patients with acetabular fractures were entered into a prospectively maintained registry from 29 hospitals; of those, 2073 (92.7%) had complete records on the endpoints of interest in this retrospective study and were analyzed. The neurological status in these patients was captured at their admission and at the discharge. A total of 1395 of 2073 (67%) patients underwent surgery, and the proportions of intervention-related and other hospital-acquired nerve injuries were obtained. Overall proportions of patients developing nerve injuries, risk based on fracture type, and risk of surgical approach type were analyzed.

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Section: Discussionmentioning

confidence: 99%

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

Lehmann

Hoffmann

Fensky

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…The aim is to anatomically restore the joint surface as it has been clearly shown as a key factor for its future prognosis. 7,18,[20][21][22]43,46,72,[74][75][76] Several other factors have also been correlated with outcome. They include fracture type, with the worst outcomes associated with complex fractures, especially those with marked displacement and comminution; chondral and osseous lesions of the femoral head and ipsilateral femoral neck fractures.…”

Section: Discussionmentioning

confidence: 99%

Quadrilateral plate fractures of the acetabulum: An update

White

Kanakaris

Faour

et al. 2013

Injury

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“…[2][3][4][5][6][7][8][27][28][29][30][31] Two of the authors (RM, NKK) independently assessed the suitability of the manuscripts, which were retrieved from PubMed using the keywords 'anterior column', 'anterior wall' and 'acetabular fracture'. Wherever there was discrepancy in the reviewers' opinion after reviewing the abstracts, the whole manuscript was screened and a consensus reached.…”

Section: Discussionmentioning

confidence: 99%

The surgical treatment of anterior column and anterior wall acetabular fractures

Giannoudis

Kanakaris

Dimitriou

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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Isolated fractures of the anterior column and anterior wall are a relatively rare subgroup of acetabular fractures. We report our experience of 30 consecutive cases treated over ten years. Open reduction and internal fixation through an ilioinguinal approach was performed for most of these cases (76.7%) and percutaneous techniques were used for the remainder. At a mean follow-up of four years (2 to 6), 26 were available for review. The radiological and functional outcomes were good or excellent in 23 of 30 patients (76.7%) and 22 of 26 patients (84.6%) according to Matta's radiological criteria and the modified Merlé d'Aubigné score, respectively.Complications of minor to moderate severity were seen in six of the 30 cases (20%) and none of the patients underwent secondary surgery or replacement of the hip.

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Results of 75 Consecutive Patients With An Acetabular Fracture

Cited by 62 publications

References 0 publications

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

Quadrilateral plate fractures of the acetabulum: An update

The surgical treatment of anterior column and anterior wall acetabular fractures

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