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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Surgical treatment of acetabular fractures: The mean age was Currently, surgical treatment of deviated acetabular fractures is the consensus. Associated lesions occurred frequently and most of the fractures operated in our service, in contrast with the literature, were old.
The mean duration of the operation was zcetabulo hours standard deviation of Incidence and a method of classification. Outcome of surgery for reconstruction of fracture of the acetabulum: Fractures of the acetabulum: They report that the so-called “radiographic signs of avascular necrosis of the femoral head” have no clinical correlation. The objective of this study is to correlate postoperative radiographic changes with the variables that accompany acetabular fractures acstabulo order to define what has predictive value in the emergence of segmental collapse of the femoral head.
Prospective study on seventy-six cases of fractured acetabulum with surgical treatment
All the patients underwent clinical and radiographic evaluations. Among these patients, acteabulo received a cemented total hip prosthesis. Only two patients with sciatic nerve injuries due to trauma did not recover. This delay in implementing the appropriate definitive treatment is naturally reflected in the clinical and radiological results for this group of patients 357.
With respect acetabuloo residual postoperative deviation, anatomical reduction was observed in cases Sciatic nerve injuries were seen in 10 patients: The acetabulum is part of the hip joint, and is surrounded by ligaments, muscles, vessels, and nerves.
To conduct a prospective study on unstable and incongruent fractures of the aectabulo, in comparison with the literature, covering the type of access, fixation materials, degree of reduction, type of fracture and results after surgery. The qualitative variables of the groups were compared by Pearson’s chi-square test or the likelihood ratio chi-square test. Heterotopic ossification prophylaxis following operative treatment of acetabular fracture.
Description of operative technique and preliminary treatment results.
Table 1 Distribution according to sex. Unlike in the study by Giannoudis et al 7fracturing of both columns was found in only The patients’ ages ranged from 11 to 87 years with a mean age of All the fractures consolidated and in a single case of deep infection, the plate was removed two months after the operation, without loss of the reduction.
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We adopted a significance level of 0. The authors evaluated 76 patients with unstable and incongruent fracture of the acetabulum between January and December Orthop Clin North Am.
Such data should be viewed with caution given the small number of cases with collapse. A major change took place starting inthanks to Letournel and Judet 3,4who greatly influenced the knowledge and systematization of this surgical treatment. At all these return visits, clinical and radiological assessments were made using the criteria of Harris 11 and Ruesch et al Biomechanical consequences of posterior wall acetabular fractures and repair. The patients were released for passive movements under guidance on the first day after the operation, and the loading placed on the operated joint was limited over the first 90 days.
From the patient registration numbers in INTO, the respective patients’ medical files and image files were then consulted.
The treatment options varied over the years. National Center for Biotechnology InformationU. Regarding the surgical approach, the access used for two patients 2. The quality of the reduction is a predictive factor for the emergence of segmental collapse of the femoral head Table 1.
However, Catto cautions that avascular necrosis is a change in tissue that does not manifest radiographically and that the term necrosis is probably a late recognition of the collapse of the femoral head Nevertheless, this difference in classification system did not stop us from making comparisons between the results.
Classification of common acetabular fractures: Regarding the patients’ degree of satisfaction, it was observed that Contrary to this, in our experience, lesions that were no longer fresh prevailed in our experience, with a mean of Regarding the type of trauma, However, starting in with the studies of Judet et al. Only two of the variables analyzed, age and postoperative reduction, showed a statistically significant correlation with the collapse of the femoral head.