FRATURAS DO ACETABULO PDF
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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Tomography was used in 53 cases, and it was observed that in the 23 cases With the increasing number of high-energy traumas, caused mainly by car accidents, coupled with improvement in the rescue systems for polytraumatized patients, there has been acetabuulo increase in the number of patients with acetabular fractures arriving at referral hospitals 1.
Regarding sex, 64 were male Distribution according to Tile classification 6. Description of operative technique and preliminary treatment results.
Surgical treatment of acetabular fractures: Associated injuries were common and most of the fractures operated in our service came to us late. This system is used in most published papers.
acetaublo Perioperative complications associated with operative treatment of acetabular fractures. Currently, surgical treatment of deviated acetabular fractures is the consensus. Regarding the type of trauma, there were 51 cases of car and motorcycle accidents Most of the patients were male, in an economically active age group, and were victims of traffic accidents. On the other hand, Sancineto et al 9 found low inter and intra-person reproducibility with the Letournel classification 1.
Acetabular fracture | Radiology Case |
For each fracture, between one and four acetabular reconstruction plates were used. No prophylaxis for heterotopic ossification was administered. They were then taken zcetabulo the surgical block, where transkeletal traction was established on the distal femur on the day of admission. It was concluded that anatomical reduction and stable fixation are important for good results. Fractures of fraguras acetabulum: Regarding the side affected, the right side was injured more frequently than the left side: However, starting in with the studies of Judet et al.
Heterotopic ossification prophylaxis following operative treatment of acetabular fracture. Radiographic examinations were performed during the postoperative period, in Judet views, in order to verify the remaining degree of displacement.
The interval between the fracture and fixation varied between one and 90 days, with the average being We used the Student’s t-test or the Mann-Whitney test for unrelated samples when comparing the groups with and without the presence of aectabulo in relation to quantitative variables, depending on whether the variables within the groups followed a normal distribution or not.
The first aceatbulo treatment for a fracture of the acetabulum was performed by Levine, in 1. Incidence and a method of classification.
Central dislocation of the femur. The collapse of the femoral head is usually attributed to avascular necrosis, transferring the responsibility of what happened to the initial trauma and to the associated avascular injury.
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The importance of early recognition of this group of fractures, and establishing the definitive treatment as quickly as possible, are frequently emphasized in the literature. National Center for Biotechnology InformationU. The mean time that elapsed between the injury and the surgery was 8.
Regarding the patients’ degree of satisfaction, it was observed that The Marvin Tile classification was used and all the patients were treated surgically in accordance with the technique recommended by the AO-ASIF group. We excluded patients who underwent nonoperative treatment, those who did not have a minimum postoperative period of two years, or when they did not bring all the necessary information to our study. There was one case of preoperative lesion of the superior gluteal vein that required ligature, but without further complications.
Regarding the surgical approach, the access used for two patients 2. A histological study of avascular necrosis of the femoral head transcervical fracture.
Retrospective analysis of medial files of patients submitted to open reduction surgery with internal acetabular fixation. Surgical revision of malreduced acetabular fractures.
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 Loading Stack – 0 images remaining.
Thus, early intervention, a correct approach, good stabilization and reduction are important for minimizing the number of complications , Contrary to this, in our experience, lesions that were no longer fresh prevailed in our experience, with a mean of In these cases, a displacement of 2 mm remained after the surgical reduction. The following were excluded: The quality of the reduction is a predictive factor for the emergence of segmental collapse of the femoral head Table 1. Of these ten cases, seven already presented lesions before the surgery; the other three presented neuropraxia, with full recovery at the last assessment.
J Bone Joint Surg Am. Seventy-six patients with unstable and incongruent fractures of the acetabulum were evaluated between January and December Of these, only 34 fulfilled their rigorous inclusion criteria, thus dp a total of 3, cases of displaced fractures in 3, patients.
Prognosis of fractures of the acetabulum. Unlike in the study by Giannoudis et al 7fracturing of both columns was found in only A prospective study of surgically treated acetabular fractures.