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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Table 6 Side affected. Play Add to Share View revision history. On the other hand, Sancineto et al 9 found low inter and intra-person reproducibility with the Letournel classification 1.
Related Radiopaedia articles Pelvic fractures Promoted articles advertising. Open reduction and internal fixation of fractures of the acetabulum. All the patients underwent clinical and radiographic evaluations. A histological study of avascular necrosis of the femoral head transcervical fracture.
Among the 73 patients, 56 Thus, early intervention, a correct approach, good stabilization and reduction are important for minimizing the number of complications , Fractures of the acetabulum. The others were excluded either because their follow up was shorter than the minimum time, or rraturas a result of the lack of sufficient data reported on files, or because they had been submitted to non-surgical treatment. Among these patients, one received a cemented total hip prosthesis.
Acetabular fracture | Radiology Case |
Nevertheless, this difference in classification system did not stop us from making comparisons between the results. Les fratures articulaires de la hanche. The primary complication in fractures of the acetabulum fratueas 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, Heterotopic ossification prophylaxis following operative treatment of acetabular fracture.
This aim becomes more difficult as the treatment becomes postponed, and such delays consequently end up influencing the functional result for these patients 5. Functional results of hip arthroplasty with acrylic prosthesis. For our cases, we used the Tile classification 6 because this is the one chosen in our service.
National Center for Biotechnology InformationU. Letournel 1 revolutionized the treatment acehabulo fractures of the acetabulum through developing better comprehension of this type of injury and rationalizing the surgical approach.
Table 2 Distribution according to age in years. Old non-united right inferior pubic ramus fracture. The patients were released for passive movements under guidance on the first avetabulo after the operation, and the loading placed on the operated joint was limited over the first 90 days. For each fracture, between one adetabulo four acetabular reconstruction plates were used. Such data should be viewed with caution given the small number of cases with collapse.
The results were evaluated using means and standard deviations. The time that elapsed between the injury and the surgical treatment was a mean of Results of operative treatment of fractures of the posterior wall of the acetabulum.
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They improved the radiological assessments by instituting specific radiographic views and publicized the ilioinguinal, Kocher-Langenbeck and iliofemoral access routes. Table 7 Associated bone lesions.
The clinical evaluation was done in accordance with the Harris criteria, and good or excellent results were obtained for 62 patients An end-result study using a new method of result evaluation.
In an extensive review published inGiannoudis et al 7 analyzed studies on displaced fractures of the acetabulum. The following factors were taken into consideration: Also in this respect, the time that elapses between the injury and the institution of definitive treatment is considered to be of prime important for obtaining an acetanulo reduction. A prospective study of surgically treated acetabular fractures. Only two of the variables analyzed, age and postoperative reduction, showed a statistically significant correlation with the collapse of the femoral head.
Operative treatment of displaced fractures of the acetabulum. Traumatic arthritis of the hip after dislocation and acetabular fractures: