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187692

Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background:Acetabular fractures are a common clinical challenge. The posterior wall fractures represented 35% of all acetabular fractures and usually complexed. The curative treatment is surgical and depends on the fracture anatomy and surgeon preferences.
Aim of the Work:The current study aimed to assess the short term results of posterior acetabular fractures management by open reduction and internal fixation.
Patients and Methods:Thirty patients with displaced posterior wall acetabular fractures were included. They were treated by open reduction and internal fixation using neutralizing plates and screws.  All patients were assessed by a pre-prepared trauma assessment sheet. Post-operative, active assisted and pain free passive range of motion exercises in all planes was advised. Functional outcome was evaluated using the Merle D'Aubinge and Postel score. Patients were followed up initially at 3 weeks intervals for first 2 months and thereafter at 6 weekly intervals for the next 6 months.
Result:Patients were classified to two groups: Group [A] “70%" patients with isolated posterior wall fracture, and Group [B] “30%" of patients with posterior column plus posterior wall acetabular fracture. Both groups were comparable regarding age, gender, side and mode of trauma. The double plating fixation method was significantly increased in group B when compared to group A [77.8% vs. 0.0% respectively].  Group B was associated with significant increase of operative time than group A [164.44±13.33 vs. 128.57±27.80 minutes, respectively]. Blood loss significantly increased in group B than group A [1422.22±376.76 vs. 780.95±437.46 ml, respectively]. The excellent outcome was significantly associated with younger age, lower or absent complications, and anatomical [good quality] of direct postoperative radiological outcome.
Conclusion: Most of our patients had an excellent and good outcome as a result to application of more strict selection criteria of patients and pattern. 

DOI

10.21608/ijma.2021.72017.1296

Keywords

acetabulum, Posterior Wall, Fractures, Open reduction, internal fixation

Authors

First Name

Shady Abdou

Last Name

Goda

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

shadygoda.sg@gmail.com

City

Sherbin

Orcid

-

First Name

Asharaf

Last Name

Ezzedeen

MiddleName

El Tabie

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

ashraftabie@gmail.com

City

New Damietta

Orcid

-

First Name

Osman

Last Name

Elsherif

MiddleName

Abd Ellah Mohamed

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

docosman@gmail.com

City

-

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-04-11

Publish Date

2021-07-01

Page Start

1,724

Page End

1,734

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1724-1734.pdf

PDF . 2.2MB

Link

https://ijma.journals.ekb.eg/article_187692.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=187692

Order

32

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures

Details

Type

Article

Created At

22 Jan 2023