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Information Journal Paper

Title

Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience

Pages

  37-44

Abstract

 Objective: To determine the functional and radiologic results of surgical treatment in patients with Acetabular fractures. Methods: This was a retrospective cross-sectional study. We retrospectively reviewed medical records of patients operatively treated acute Acetabular fractures at a level I trauma center (Shahid Rajaee) and an orthopedic center (Shahid Chamran) both in southern Iran (Shiraz) with minimally 1 year follow up over a period of 7 years from April 2009 to March 2016. Functional and radiographic outcomes, and complication were considered as main outcomes. Results: A total number of 79 patients completed the study. Fifty-five patients were operated through Kocher–; Langenbeck approach, and 18 were operated through the standard Ilioinguinal approach, and 6 patients were operated through the standard Ilioinguinal approach combined with Kocher–; Langenbeck approach. The mean follow-up of patients was 45. 6 months. The average operative time was 162. 4± 78. 5 min, and the median blood loss was 500 ml. Functional results were excellent in 41 patients (51. 9%), good in 12 (15. 2%), fair in 13 (16. 5%), and poor in 13 patients (16. 5%). Radiologic results were excellent in 27 cases (34. 2%), good in 17 cases (21. 5%), fair in 18 cases (22. 8%), and poor in 16 (16. 5%). Osteoarthritis of hip (60. 8%) and AVN of head of femur (22. 8%) were two most common complications. In addition, there wasn’ t any significant difference between surgical approaches regarding clinical and radiographic outcomes. Conclusion: The operative treatment for Acetabular fractures gives universally satisfactory results. Thereafter, this study provides evidence that Ilioinguinal approach is a good choice for anterior fractures, Kocher–; Langenbeck is a good choice for posteriors fractures, and combined approach may be a good choice in the management of Acetabular fractures involving two columns.

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    Cite

    APA: Copy

    MESBAHI, SEYED AMIR REZA, Ghaemmaghami, Ali, GHAEMMAGHAMI, SARA, & FARHADI, POUYA. (2018). Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 6(1), 37-44. SID. https://sid.ir/paper/335080/en

    Vancouver: Copy

    MESBAHI SEYED AMIR REZA, Ghaemmaghami Ali, GHAEMMAGHAMI SARA, FARHADI POUYA. Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2018;6(1):37-44. Available from: https://sid.ir/paper/335080/en

    IEEE: Copy

    SEYED AMIR REZA MESBAHI, Ali Ghaemmaghami, SARA GHAEMMAGHAMI, and POUYA FARHADI, “Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 6, no. 1, pp. 37–44, 2018, [Online]. Available: https://sid.ir/paper/335080/en

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