Combined Anterior and Posterior Approach in Operating on Complex Acetabular Fractures / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 287-292, 2001.
Article
in Korean
| WPRIM
| ID: wpr-648996
ABSTRACT
PURPOSE:
To report the results of a combined anterior and posterior approach to complex acetabular fractures and establish the guidelines for the operative treatment of complex acetabular fractures. MATERIALS ANDMETHODS:
Thirteen fractures (8 both column, 5 T-shaped fractures) of thirteen patients (8 men, 5 women) were treated with this combined anterior and posterior approach from August 1995 to December 1999. We reviewed the clinical and radiological results for an average of 33months (range, 12-60) follow-up.RESULTS:
This approach resulted in an anatomical reduction in ten (78%) patients and, two imperfect and one poor reduction. The average Harris hip score was 69.2 (range, 58-87) and the clinical results were good in eleven, very good in one and poor in one patient using the D'Aubigne/Postel clinical grading. A poor reduction occurred in one patient who had a both column fracture that extended to the ipsilateral sacroiliac joint combined with a joint subluxation.CONCLUSION:
Overall clinical results for most complex acetabular fractures treated by a combined anterior and posterior approach were preferable to other approaches, but we must consider an extensile or extended ilioinguinal approach to be an alternative surgical approach in this complicated fracture that involves the sacroiliac joint.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sacroiliac Joint
/
Follow-Up Studies
/
Hip
/
Joints
/
Acetabulum
Type of study:
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2001
Type:
Article
Similar
MEDLINE
...
LILACS
LIS