Your browser doesn't support javascript.
loading
Treatment of posterior wall fractures of acetabulum / 中华创伤杂志(英文版)
Chinese Journal of Traumatology ; (6): 113-117, 2009.
Artigo em Inglês | WPRIM | ID: wpr-239792
ABSTRACT
<p><b>OBJECTIVE</b>To explore the treatment methods and outcome of posterior wall fractures of the acetabulum.</p><p><b>METHODS</b>The data of 31 patients (25 males and 6 females, aged 19-59 years, mean 40.5 years) with posterior wall fractures of the acetabulum hospitalized in our department from 2002 to 2006 were analyzed retrospectively in this study. The types of fractures, number of fragments, combined dislocations, and sciatic nerve function were documented before admission. All the fractures were treated with open reduction and internal fixation. Based on the fracture type and site, either screws alone or reconstructive plates were used. The patients were immobilized for an average of 12 weeks before partial weight bearing was permitted. After follow-up for 12-70 months (43.6 months on average), modified Merle d'Aubigne score was adopted to evaluate the outcomes of the operations.</p><p><b>RESULTS</b>The percentages of the excellent, good, fair and poor results were 48.4%, 41.9%, 6.5%, and 3.3%, respectively, with a good to excellent rate of 90.2%. Idiopathic sciatic nerve injury occurred in only one case.</p><p><b>CONCLUSIONS</b>The sciatic nerve should be routinely exposed and protected during the surgery. The type of fixation should be based on the fracture type and site. Prolonged immobilization may be helpful in improving the final outcomes.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cirurgia Geral / Ferimentos e Lesões / Placas Ósseas / Parafusos Ósseos / Diagnóstico por Imagem / Radiografia / Estudos Retrospectivos / Fraturas Ósseas / Fixação Interna de Fraturas / Imobilização Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: Chinese Journal of Traumatology Ano de publicação: 2009 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cirurgia Geral / Ferimentos e Lesões / Placas Ósseas / Parafusos Ósseos / Diagnóstico por Imagem / Radiografia / Estudos Retrospectivos / Fraturas Ósseas / Fixação Interna de Fraturas / Imobilização Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: Chinese Journal of Traumatology Ano de publicação: 2009 Tipo de documento: Artigo