The role of patient positioning on the outcome of acetabular fractures fixation through the Kocher–Langenbeck approach

Salameh, Motasem; Hammad, Mohammad; Babikir, Elhadi; Ahmed, Abdulaziz F.; George, Bivin; Ahmed, Ghalib

doi:10.1007/s00590-020-02793-1

Cited by 6 publications

(18 citation statements)

References 12 publications

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“…При проведении поиска по ключевым словосочетаниям "acetabular fractures", "surgical approach to the acetabulum" было найдено 4368 статьи, из которых было отобрано 12 публикаций, содержащих наиболее полную информацию по изучаемым показателям [1,11,17,18,19,20,21,22,23,24,25,26].…”

Section: материал и методыunclassified

“…Khira с соавторами -32,9 (21,0-58,0) лет [17], Y.T. Li с соавторами -32,1±14,6 лет [18], M. Salameh с соавторами -34,8 (18,0-60,0) [21]. Пациенты более старшего возраста -в исследованиях T. Lont с соавторами -70 (56-92) лет [19] и T. Borg и соавторами -76,5 (64,0-89,0) лет при использовании доступа Кохера -Лангенбека и 68,2 (50,0-83,0) лет при использовании подвздошно-пахового доступа [1].…”

Section: возрастная характеристика пациентов с переломами вертлужной ...unclassified

“…Падение с высоты более 3 м послужило причиной перелома у 108 пациентов [1,16,17,19,20,22,23,24,25], с уровня менее 3 м -у 65 пациентов [1,19,23,24,25]. Травма произошла от падения тяжелого предмета у 11 пациентов [21,23]. О спортивной травме сообщается у 9 пациентов [21].…”

Section: механизм травмы и хирургические доступыunclassified

“…Травма произошла от падения тяжелого предмета у 11 пациентов [21,23]. О спортивной травме сообщается у 9 пациентов [21]. На рисунке 1 представлена диаграмма, иллюстрирующая выбор доступа к ВВ с учетом механизма травмы.…”

Section: механизм травмы и хирургические доступыunclassified

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Surgical Approaches for Acetabulum Fracture Treatment: Analytic Review

Kolesnik¹,

Донченко

Surikov

et al. 2022

Traumatology and Orthopedics of Russia

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Background. The use of classical and modified surgical approaches to acetabulum is accompanied by serious intra- and postoperative complications associated with tissues, vessels, nerves, and lymphatic structures injury. The choice of approach to acetabulum affects the surgical time and the blood loss volume. The aim of the review was to compare the surgical time and blood loss volume using different surgical approaches to the acetabulum based on the relevant literature analysis. Methods. The search was carried out in PubMed/MEDLINE and Scopus databases from 1964 to 2022. When conducting a search for the phrases acetabular fractures, surgical approach to the acetabulum, 4368 articles were found. As a result of the selection, 12 publications containing the most complete information on the studied indicators were included in the quantitative analysis. Results. The data of surgical treatment of 540 patients with acetabulum fractures were analyzed. The average age of the patients was 45.211.6 years. Among the causes of pelvic and acetabulum fractures, road accident (70.4%) and falls from height (21.3%) largely prevailed. The blood loss depended on the use of specific approaches or their combination, and the surgical time. The shortest surgical time (101.027.0 min.) was required using pararectal approach, the longest (26456.4 min.) with the use of ilio-inguinal approach. The largest volume of blood loss was observed with Pfannenstiel approach 1057.1377.9 ml. No statistically significant differences were found when comparing the Kocher-Langenbeck (793328 ml), ilio-inguinal (82864 ml) and pararectal (798322 ml) approach. Performing the Kocher-Langenbeck approach in the patients lateral position reduces the surgical time by 16.8% and reduces blood loss by 12.4% compared to the patients prone position. Conclusion. Comparative clinical studies are required to determine the safest surgical approaches to the acetabulum, depending on the type of fracture, the mechanism of injury and the age of the patient.

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Section: материал и методыunclassified

Section: возрастная характеристика пациентов с переломами вертлужной ...unclassified

Section: механизм травмы и хирургические доступыunclassified

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Surgical Approaches for Acetabulum Fracture Treatment: Analytic Review

Kolesnik¹,

Донченко

Surikov

et al. 2022

Traumatology and Orthopedics of Russia

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“…The Matta grading was used by several authors for the assessment of quality of reduction after surgical fixation of acetabulum fractures. 7,8 However, this radiographic grading has not previously been directly tested for its interobserver and intraobserver reliability.…”

Section: Introductionmentioning

confidence: 99%

The Reliability of Postoperative Radiographic Matta Grading for Quality of Reduction of Acetabular Fractures

Mudawi

Salameh

Ahmed

et al. 2022

Journal of Orthopaedic Trauma

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Incidence, risk factors, and prognosis of sciatic nerve injury in acetabular fractures: a retrospective cross-sectional study

Arbash,

Alzobi,

Salameh

et al. 2024

International Orthopaedics (SICOT)

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Purpose This study aimed to investigate the incidence, risk factors of the sciatic nerve injury in patients with acetabulum fractures and assess its prognosis. Methods A retrospective cross-sectional review was conducted on 273 patients with acetabulum fractures who were treated between January 1st, 2017, and December 30th, 2019. The medical records and radiographs of these patients were analyzed. Results The overall nerve injury rate was 7.7% (21 of 273 cases), with 3.1% (8 of 273 cases) occurring because of the initial injury and 12.8% (13 of 101 cases) as post-operative complications. Among those with nerve injuries, 95.2% (20 of 21 cases) were males and the average age of the patients was 31.5 (SD 9.5) years. The most common mechanism of injury was motor vehicle collisions with 55.7% (152 of 273 cases), and the most common fracture pattern associated with nerve injury was posterior column and posterior wall fracture with 31.6% (6 of 21 cases). Hip dislocation was found in 16.5% (14 of 21 cases) of patients with nerve injury. The Kocher Langenbeck approach was the most common approach used for patients with post-operative nerve injury, and the prone position was significantly associated with sciatic nerve injury during the operation. Of all patients with nerve injury, 52% (11 of 21 cases) had fully recovered, 29% (6 of 21 cases) had partially recovered, and 19% (4 of 21 cases) had no improvement. The average follow-up was 15 months. Conclusion This study emphasizes the incidence of sciatic nerve injuries in individuals with acetabulum fractures and highlights key risk factors, including hip dislocation, posterior column, and posterior wall fractures. It is noteworthy that the Kocher Langenbeck approach and the prone position may contribute to iatrogenic nerve injuries. Encouragingly, over half of the patients who suffered nerve injuries achieved full recovery, while nearly one-third experienced partial recovery. These findings underscore the vital significance of recognizing and addressing these risk factors in clinical practice.

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The role of patient positioning on the outcome of acetabular fractures fixation through the Kocher–Langenbeck approach

Cited by 6 publications

References 12 publications

Surgical Approaches for Acetabulum Fracture Treatment: Analytic Review

Surgical Approaches for Acetabulum Fracture Treatment: Analytic Review

The Reliability of Postoperative Radiographic Matta Grading for Quality of Reduction of Acetabular Fractures

Incidence, risk factors, and prognosis of sciatic nerve injury in acetabular fractures: a retrospective cross-sectional study

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