The Relevance of Surgery in the Acetabular Injury Management Outcome - Zdravlje, medicina, lijecenje, zdravstveni portal

The Relevance of Surgery in the Acetabular Injury Management Outcome

The Relevance of Surgery in the Acetabular Injury Management Outcome
Bruno Splavski, Ivan Lovric, Dario Muzevic, Kenan Arnautovic, Brano Splavski
Med Arh. 2012; 66(6): 405-408

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Abstract

Introduction. The purpose of this article was to analyze diverse factors that affect the management outcome of the acetabular injury in different groups of patients. Methods. The cohort of 103 patients suffering the acetabular fracture was analysed in a retrospective case-control study. The case group was comprised of 21 patients in whom the posterior acetabular wall was fractured and who were treated surgically, while the control group was formed from 82 conservatively treated patients suffering complex acetabular fracture. The appearance and rate of different complications, and the treatment overall length were observed as a measure of outcome. Results. Lower limbs flebothrombosis and a pulmonary embolism were the most often complication in the control group of patients, but were rarely observed in surgically treated patients, in whom the management duration was considerably shorter. At a 3-year follow-up the acetabular injury management outcome in the case group was significantly better, compared to the control group of patients. Conclusion. Surgery may improve the outcome and reduce the rate of complications and the length of treatment for the patients suffering the acetabular injury.

REFERENCES

1. Haveri M, Junila J, Suramo I, Lahde S. Multiplanar and 3D CT of acetabular fractures. Acta Radiol. 1998; 39(3): 257-264.

2. Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis, J Bone Joint Surg (Br). 2005; 87 (1): 2-9.

3. Kumar A, Shah NA, Kershaw SA, Clayson AD. Operative management of acetabular fractures: a review of 73 fractures. Injury. 2005; 36(5): 605-612.

4. Letournel E, Judet R. Classification. In: Elson RA. Fractures of the acetabulum. 2nd ed. New York: Springer-Verlag. 1993: 63-66.

5. Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within 3 weeks after the injury. J Bone Joint Surg (Am). 1996; 78A: 1632-1645.

6. Goulet JA, Bray TJ. Complex acetabular fractures. Clin Orthop. 1989; 240: 9-20.

7. Matta JM. Operative treatment of acetabular fractures through the ilioinguinal approach: a 10-year perspective. Clin Orthop. 1994; 305: 10-19.

8. Mayo KA. Open reduction and internal fixation of fractures of the acetabulum. Results in 163 fractures. Clin Orthop. 1994; 305: 31-37.

9. Heeg M, Oostvogel HJM, Klasen HJ. Conservative treatment of acetabular fractures: The role of the weightbearing dome and anatomic reduction in the ultimate results. J Trauma. 1987; 27: 555-559.

10. Lovric I, Splavski B, Jovanovic S, Soldo I, Radanovic B. Influence of surgery onto the appearance of the hip joint periarticular calcification in patients with the acetabular fracture. coll anthropol. 2010; 34(4): 159-163.

11. Lovric I, Splavski B, Jovanovic S, Soldo I, Kvolik S, Has B. The main biomechanical risk factors for the prevalence of the left hip joint traumatic and degenerative changes. Coll Antropol. 2009; 33(4): 1103-1106.

12. Has B, Nagy A, Has-Schön E, Pavic R, Kristek J, Splavski B. Influence of instability and muscular weakness in ethiopathogenesis of hip fractures. Coll Antropol. 2006; 30 (4): 823-827.

13. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969; 51(4): 737-755.

14. American Academy of Orthopaedic Surgeons. Joint motion. Method of measuring and recording. Edinburgh, London: Churchill Livingstone; 1988: 56-65.

15. Liebergall M, Mosheiff R, Low J, Goldvirt M, Matan Y, Segal D. Acetabular fractures. Clinical outcome of surgical treatment. Clin Orthop. 1999; (366): 205-216.

16. Moed BR, McMichael JC. Outcomes of posterior wall fractures of the acetabulum. J Bone Joint Surg (Am). 2008; 90: 87-107.

17. Yu JK, Chiu FY, Feng C-K, Chung T-Y, Chen T-H. Surgical treatment of displaced fractures of posterior column and posterior wall of the acetabulum. Injury. 2004; 35: 766-770.

18. Petsatodis G, Antonarakos P, Chalidis B, Papadopoulos P, Christoforidis J, Pournaras J. Surgically treated acetabular fractures via a single posterior approach with a follow-up of 2-10 years. Injury. 2007; 38(3): 334-343.

19. Yue JJ, Sontich JK, Miron SD, Peljovich AE, Wilber JH, Yue DN, et al. Blood flow changes to the femoral head after acetabular fracture or dislocation in the acute injury and perioperative periods. J Orthop Trauma. 2001; 15(3): 170-176.

20. Im GI, Chung WS. Fractures of the posterior wall of the acetabulum: treatment using cannulated screws. Injury. 2004; 35(8): 782-786.

21. Kaempffe FA, Bone LB, Border JR. Open reduction and internal fixation of acetabular fractures: heterotopic ossification and other complications of treatment. J Orthop Trauma. 1991; 5(4): 439-445.

22. Lovric I, Jovanovic S, Lekšan I, Biuk E, Kristek J, Radic R. Functional status of hip joint after surgical and conservative treatment of acetabular fracture. Coll Antropol. 2007; 31 (1): 285-289.

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