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Clinical and radiologic results of surgically-treated acetabular fractures

Year 2003, Volume: 37 Issue: 2, 97 - 101, 11.09.2006

Abstract

Objectives: We evaluated the functional and radiologic results of surgical treatment in patients with displaced acetabular fractures.
Methods: The study included 21 patients (13 males, 8 females; mean age 35 years; range 21 to 63 years). Before surgery, all the patients were evaluated with anteroposterior, iliac, and obturator oblique views and computed tomography scans. According to the Letournel-Judet classification, the fractures were simple in 10 patients and complex in 11 patients. Twelve patients had posterior wall and/or the posterior column fractures. Four patients underwent closed reduction under emergency settings for accompanying posterior dislocations. The mean time to surgery was 4.8 days (range 1 to 13 days). Surgery was performed by the Kocher-Langenbeck approach (n=12), a triradiate approach (n=5), and a modified extended iliofemoral approach (n=4). Functional results were assessed by the D’Aubigne-Postel’s knee scoring system and radiologic results using anteroposterior, iliac, and obturator oblique views. The mean follow-up was 31 months (range 19 to 64 months).
Results: Functional results were excellent in eight patients (38.1%), good in seven (33.3%), satisfactory in four (19.1%), and poor in two patients (9.5%). Radiologic examination showed posttraumatic arthrosis in four patients (19.1%), heterotopic ossification in three patients (14.3%), and avascular necrosis in two patients (9.5%). Radiologic results were excellent and good in 16 patients (76.2%), satisfactory in three patients (14.3%), and poor in two patients (9.5%).
Conclusion: Clinical and radiologic results showed concordance. The presence of dislocations and inadequate reduction were associated with poor functional results.

Asetabulum kırıklarının cerrahi tedavisinde klinik ve radyolojik sonuçlar

Year 2003, Volume: 37 Issue: 2, 97 - 101, 11.09.2006

Abstract

Amaç: Asetabulum kırığı nedeniyle cerrahi tedavi uyguladığımız hastalarda fonksiyonel ve radyolojik sonuçlar değerlendirildi.
Çalışma planı: Asetabulum kırığı nedeniyle cerrahi tedaviden sonra yeterli takibi yapılan 21 hasta (13 erkek, 8 kadın; ort. yaş 35; dağılım 21-63) çalışmaya alındı. Ameliyat öncesinde tüm olgular ön-arka, iliak ve obturator oblik grafiler yanı sıra bilgisayarlı tomografi ile değerlendirildi. Letournel-Judet sınıflamasına göre 10 hastada basit, 11 hastada kompleks kırık vardı. En sık arka duvar ve/veya arka kolon kırığı (12 hasta) saptandı. Kırıkla birlikte arkaya çıkık olan dört hastaya acil kapalı redüksiyon yapıldı. Hastalar ortalama 4.8 günde (dağılım 1-13 gün) ameliyat edildi. On iki olguda Kocher-Langenbeck, beş olguya triradyat, dört olguya modifiye genişletilmiş iliofemoral yaklaşım uygulandı. Sonuçlar fonksiyonel olarak D’Aubigne ve Postel kalça puanlaması ile ve radyolojik olarak ön-arka, iliak ve obturator grafilerle değerlendirildi. Ortalama takip süresi 31 ay (dağılım 19-64 ay) idi.
Sonuçlar: Fonksiyonel olarak sekiz hastada çok iyi (%38.1), yedi hastada iyi (%33.3), dört hastada yeterli (%19.1), iki hastada kötü (%.9.5) sonuç elde edildi. Radyolojik olarak dört hastada posttravmatik artroz (%19.1), üç hastada heterotopik ossifikasyon (%14.3), iki hastada avasküler nekroz (%9.5) saptandı. Radyolojik sonuçlar 16 olguda çok iyi ve iyi (%76.2), üç olguda yeterli (%14.3), iki olguda kötü (%9.5) idi.
Çıkarımlar: Klinik ve radyografik sonuçların paralellik gösterdiği görüldü. Redüksiyonun yeterli olmadığı ve çıkıkla birlikte olan olgularda kötü fonksiyonel sonuç alındı.

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Details

Primary Language English
Journal Section Original Article
Authors

Nurzat Elmali This is me

Kadir Ertem This is me

Muharrem Inan This is me

Irfan Ayan This is me

Yurdaer Denizhan This is me

Publication Date September 11, 2006
Published in Issue Year 2003 Volume: 37 Issue: 2

Cite

APA Elmali, N., Ertem, K., Inan, M., Ayan, I., et al. (2006). Clinical and radiologic results of surgically-treated acetabular fractures. Acta Orthopaedica Et Traumatologica Turcica, 37(2), 97-101. https://doi.org/10.3944/aott.v37i2.831
AMA Elmali N, Ertem K, Inan M, Ayan I, Denizhan Y. Clinical and radiologic results of surgically-treated acetabular fractures. Acta Orthopaedica et Traumatologica Turcica. September 2006;37(2):97-101. doi:10.3944/aott.v37i2.831
Chicago Elmali, Nurzat, Kadir Ertem, Muharrem Inan, Irfan Ayan, and Yurdaer Denizhan. “Clinical and Radiologic Results of Surgically-Treated Acetabular Fractures”. Acta Orthopaedica Et Traumatologica Turcica 37, no. 2 (September 2006): 97-101. https://doi.org/10.3944/aott.v37i2.831.
EndNote Elmali N, Ertem K, Inan M, Ayan I, Denizhan Y (September 1, 2006) Clinical and radiologic results of surgically-treated acetabular fractures. Acta Orthopaedica et Traumatologica Turcica 37 2 97–101.
IEEE N. Elmali, K. Ertem, M. Inan, I. Ayan, and Y. Denizhan, “Clinical and radiologic results of surgically-treated acetabular fractures”, Acta Orthopaedica et Traumatologica Turcica, vol. 37, no. 2, pp. 97–101, 2006, doi: 10.3944/aott.v37i2.831.
ISNAD Elmali, Nurzat et al. “Clinical and Radiologic Results of Surgically-Treated Acetabular Fractures”. Acta Orthopaedica et Traumatologica Turcica 37/2 (September 2006), 97-101. https://doi.org/10.3944/aott.v37i2.831.
JAMA Elmali N, Ertem K, Inan M, Ayan I, Denizhan Y. Clinical and radiologic results of surgically-treated acetabular fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;37:97–101.
MLA Elmali, Nurzat et al. “Clinical and Radiologic Results of Surgically-Treated Acetabular Fractures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 37, no. 2, 2006, pp. 97-101, doi:10.3944/aott.v37i2.831.
Vancouver Elmali N, Ertem K, Inan M, Ayan I, Denizhan Y. Clinical and radiologic results of surgically-treated acetabular fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;37(2):97-101.