Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 7-8, Pages: 496-500
https://doi.org/10.2298/SARH1108496M
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Surgical treatment of displaced acetabular fractures
Milenković Saša (Ortopedsko-traumatološka klinika, Klinički centar, Niš)
Saveski Jordan (Traumatološka klinika, Skoplje, Makedonija)
Radenković Mile (Ortopedsko-traumatološka klinika, Klinički centar, Niš)
Vidić Goran (Ortopedsko-traumatološka klinika, Klinički centar, Niš)
Trajkovska Neda (Traumatološka klinika, Skoplje, Makedonija)
Introduction. Acetabular fractures are severe injuries, generally caused by
high-energy trauma, most frequently from traffic accidents or falls from
heights. Fractures of the extremities, head injuries, chest, abdomen and
pelvic ring injuries are most commonly associated injuries. Objective. The
purpose of this study was to evaluate the results of open reduction and
internal fixation of acetabular fractures. The open anatomical reduction of
the articular surface combined with a rigid internal fixation and early
mobilisation have become the standard treatment of these injuries. Methods.
We conducted a retrospective analysis of 22 patients of average age 43.13
years. The patients were treated by open reduction and internal fixation at
the Orthopaedic Clinic of Niš from 2005-2009. The follow-up was 12 to 60
months, with the average of 21.18 months after surgery. Results. All injured
patients were operated on between 4 and 11 days (5.7 days on the average).
According to the classification by Judet and Letournel, 15 (68.18%) patients
had an elementary acetabular fracture, whereas 7 (31.82%) patients had
associated fracture. A satisfactory postoperative reduction implying less
than 2 mm of displacement was achieved in 19 (86.36%) patients. The
radiological status of the hip joint, determined according to Matta score,
was excellent in 15 (68.18%) patients, good in 4 (18.18%) patients and
moderate in 3 (13.63%) patients. According to Merle d’Aubigné Scale, the
final functional results of the treatment of all operated patients were
excellent in 12 (54.54%) patients, good in 7 (31.81%) patients and moderate
in 3 (13.63%) patients. Conclusion. Surgical treatment of dislocated
acetabular fractures requires an open reduction and a stable internal
fixation. Excellent and good results can be expected only if anatomical
reduction and stable internal fixation are achieved.
Keywords: fractures, acetabulum, surgical treatment
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