Journal ArticleDOI
Fractures of the acetabulum. Early results of a prospective study.
Joel M. Matta,D K Mehne,R Roffi +2 more
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Patients were primarily young adults with multiple injuries secondary to motor-vehicle-associated trauma and fractures involving at least one column of the acetabulum and displaced at least 5 mm (rim fractures were excluded).Abstract:
One hundred two patients with 105 displaced fractures of the acetabulum were treated for fractures involving at least one column of the acetabulum and displaced at least 5 mm (rim fractures were excluded). The patients were primarily young adults with multiple injuries secondary to motor-vehicle-associated trauma. Fractures were classified according to the classification of Letournel. The most common fractures were the complex associated types with 44 complete both column, 19 T-shaped, and 18 associated transverse and posterior wall. Seventeen fractures were treated closed, and 88 were treated operatively. Closed treatment with skeletal traction was undertaken if roof arc measurements demonstrated a satisfactory remaining acetabular dome following fracture and in some cases of apparent congruence following complete both column fractures. Fractures not meeting these criteria were operated upon through the Kocher-Langenbeck, extended iliofemoral, or ilioinguinal approach. Ninety percent of the operations produced a satisfactory reduction of the fracture (3 mm or less displacement). A follow-up study longer than one year was obtained for 50 fractures. Clinical results were 80% satisfactory overall. Operative complications included 3% infection, 5% nerve palsy, and 7% significant ectopic bone. Operative treatment can produce satisfactory fracture reductions and clinical results with an acceptably low complication rate.read more
Citations
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Journal ArticleDOI
Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury.
TL;DR: Findings indicate that in many patients who have a complex acetabular fracture the hip joint can be preserved and post-traumatic osteoarthrosis can be avoided if an anatomical reduction is achieved.
BookDOI
Manual of internal fixation
TL;DR: Manual ofinternal fixation , Manual of internal fixation , کتابخانه دیجیتال جندی شاپور اهواز
Journal ArticleDOI
Operative treatment of displaced fractures of the acetabulum. A meta-analysis.
TL;DR: The most common long-term complication was osteoarthritis which occurred in approximately 20% of the patients, and other late complications, including heterotopic ossification and avascular necrosis of the femoral head, were present in less than 10%.
Journal ArticleDOI
The Development and validation of a self-administered quality-of-life outcome measure for young, active patients with symptomatic hip disease: the International Hip Outcome Tool (iHOT-33).
Nicholas G. H. Mohtadi,Damian R. Griffin,M. Elizabeth Pedersen,Denise Chan,Marc R. Safran,Nicholas R. Parsons,Jon K. Sekiya,Bryan T. Kelly,Jason Werle,Michael Leunig,Joseph C. McCarthy,Hal David Martin,J. W. Thomas Byrd,Marc J. Philippon,RobRoy L. Martin,Carlos A. Guanche,John C. Clohisy,Thomas G. Sampson,Mininder S. Kocher,Christopher M. Larson +19 more
TL;DR: The iHOT-33 has been shown to be reliable; shows face, content, and construct validity; and is highly responsive to clinical change; and can be used as a primary outcome measure for prospective patient evaluation and randomized clinical trials.
Journal ArticleDOI
Articular Fractures: Does an Anatomic Reduction Really Change the Result?*
J. L. Marsh,Joseph A. Buckwalter,R. Gelberman,Douglas R. Dirschl,Steven A. Olson,Tim Brown,A. Llinias +6 more
TL;DR: The basic-science studies on articular cartilage injury, incongruity, and the capacity for remodeling were reviewed and the ability to accurately measure the articular reduction, which is critical to clinical research, was assessed, and clinical data for four representative articular fractures are described.
References
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Journal ArticleDOI
Functional results of hip arthroplasty with acrylic prosthesis
R. M. D'Aubigné,M. Postel +1 more
TL;DR: Late results in 243 arthroplasties with an acrylic prosthesis for traumatic or osteoarthritic conditions are reported, and deterioration of the functional results appear to be caused by bone absorption around the Judet prosthesis and the consequent loosening of the prosthesis.
Journal ArticleDOI
Fractures of the Acetabulum: A Retrospective Analysis
TL;DR: Fractures must be reduced to a displacement of 3 mm or less, in addition to congruent reduction of the femoral head with the weight-bearing dome of the acetabulum, to achieve a satisfactory clinical result.
Journal ArticleDOI
Contact pressures in the loaded human cadaver hip
TL;DR: The higher pressures found are within the range which in other experiments has led to fatigue failure of femoral head cartilage, and it is suggested that hips in which such pressures exist under loads of three times body weight may be predisposed to osteoarthritis.