O objetivo do presente artigo é revisar a literatura disponível sobre o uso da abordagem de Stoppa modificada em fraturas de acetábulo. Balbachevsky D, Pires RE, Faloppa F, Reis F. Tratamento das fraturas da pelve e acetábulo pela via de Stoppa modificada. Acta Ortop Bras. Lesões arteriais potencialmente mortais associadas a fraturas do acetábulo: A propósito de um caso clínico. Rev. Port. Ortop. Traum. [online]. , vol, n.2, .
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No dislocation but the femoral head is displaced medially and superiorly. Correlate the postoperative radiographic evaluation with variables accompanying acetabular fractures in order to determine the predictive factors for segmental impaction of femoral head. The interval between the fracture and fixation varied between one and 90 days, with the average being The purpose of this study was to review the epidemiological aspects of displacement fractures of the acetabulum that had been treated surgically at the National Institute of Traumatology and Orthopedics INTO.
Work received for publication: Nevertheless, this patient evolved with chronic osteomyelitis and osteoarthrosis. The quality of reduction – anatomical or with up to 2mm residual deviation – presents a good radiographic evolution, reducing the potential for segmental impaction of the femoral head, a statistically significant finding.
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Qcetabulo others were excluded either because their follow up was shorter than the minimum time, or as a result of the lack of sufficient data reported on files, or because they had been acstabulo to non-surgical treatment.
Seven patients who evolved with osteoarthrosis presented radiographic scores of less than seven. Review of one hundred and one dislocations. Moreover, exclusion of fractures of the posterior wall that were treated conservatively or by means of minimal fixation would also explain these differences.
Table 2 Distribution according to age in years. If the patient achieved nine points, the result was considered perfect; eight points, excellent; seven points, good; and less than seven points, poor result taken to be a failure. The inverse was found by Knop et al A prospective study of surgically treated acetabular fractures. Associated lesions in patients with acetabular fractures have been plentifully documented, and limb fractures and cranial-encephalic trauma are the commonest 101213 Unable to process the form.
We adopted a significance level of 0. The criterion for incongruence was a deviation greater than 3 mm in fractures of the acetabular roof, transverse fractures, “T” fractures or fractures of the two columns. Associated injuries were common and most of the fractures operated in our service came to us late. In the radiographic evaluations, it was seen that there were some perfect reductions Figures 1 and 2excellent reductions Figures 3 and 4 and good and poor reductions Table 5.
Out of the cases initially assessed, only 73 were actually included in the analysis. Acetabular fracture fixation via a modified Stoppa limited intrapelvic approach.
J Bone Joint Surg Acetxbulo. Matos et al 8 evaluated the reproducibility of the Tile classification 6 and recommended it for use in clinical practice, which ratifies the use of this classification in our service. This fracture is a “both-column” injury – where the anterior and posterior columns are disrupted with extension to the obturator ring and iliac wing.
Prospective study on seventy-six cases of fractured acetabulum with surgical treatment
A retrospective analysis was conducted on fractures of the acetabulum that were treated surgically by physicians at the Pelvis and Acetabulum Center of INTO, between March and November Regarding sex, Giannoudis et al 7 found that The mean length of follow-up was 4.
Other factors that influenced the prognosis for the fractures included deep infection 2. Related Radiopaedia articles Pelvic fractures Promoted articles advertising. Table 4 Distribution according to Tile classification 6. Case Discussion This fracture is a “both-column” injury – where the anterior and posterior columns are disrupted with extension to the obturator ring and iliac wing.
Most of the patients were male, in an economically active age group, and were victims of traffic accidents.
Central dislocation of the femur. Early results of a prospective study.
All the patients underwent clinical and radiographic evaluations. Table 6 Side affected. Treatment for the acetabular fractures was scheduled for a second occasion. The average age of the group with collapse was significantly higher than the group without collapse, with This reflects the difficulties that the fratudas healthcare system has in providing the initial attendance, immediately recognizing the surgical nature of the injury and contacting the central regulator with a view to enabling prompt transfer of such patients to a specialized center.
The primary complication in fractures of the acetabulum is post-traumatic arthritis; other complications include nonunion, shortening of the affected limb, myositis ossificans, neurological and vascular changes, segmental collapse, femoral head necrosis, among others 2,4,5, The collapse of the femoral head was characterized by a loss of sphericity of the femoral head with flattening of the load-bearing area that is usually associated with sclerosis of the subchondral area Figure 3.
The first surgical treatment for a fracture of the acetabulum was performed by Levine, in 1. In acetabuko cases, a displacement of 2 mm remained after the surgical reduction. Letournel classification for acetabular fractures.
Distribution according to Tile classification 6. Heterotopic ossification following operative treatment of acetabular fracture. Retrospective analysis of medial files of patients submitted to open reduction surgery with internal acetabular fixation.