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Outcomes of Surgical Management of Acetabular Fractures Treated with Anterior Approaches. | LitMetric

AI Article Synopsis

  • The study evaluated the effectiveness of anterior and combined surgical approaches for treating acetabular fractures in 35 patients, analyzing outcomes retrospectively.
  • Out of 37 observed fractures, 30% were classified as simple and 70% as mixed, with various types such as transverse and column fractures identified.
  • Results showed functional outcomes were mostly good to perfect in 81% of cases, while radiological outcomes were similarly positive, suggesting that anterior approaches are effective for specific fracture types, potentially reducing the need for posterior approaches over time.

Article Abstract

Objective: In this study we aimed to evaluate the outcomes of anterior and combined approaches for treatment of acetabular fractures.

Materials And Methods: Thirty-seven acetabular fractures in 35 patients treated with an anterior approach were evaluated retrospectively. Fractures were classified according to Judet-Letournel. Early and final radiological evaluation was based on Matta's criteria. Modified Merle d'Aubigne and Postel criteria were used for functional assessment.

Results: Eleven (30%) fractures were simple type and 26 (70%) were mixed type. Two (18%) of the simple fractures were transverse and 9(82%) were anterior column fractures. Fourteen (54%) of the mixed type fractures were both column fractures, 5 (19%) were transverse+posterior wall, 5 (19%) were T shaped and 2 (8%) were anterior column+posterior hemitransverse fractures. Surgical approach was ilioinguinal in 15 (43%) patients, Stoppa in 9 (26%) and combined11 (31%). Our functional outcomes were perfect in 10 (27%) hips, good in 20 (54%), moderate in 4 (10%) and poor in 3 (8%). Our radiological results were perfect in 15 (40.5%) hips, good in 15 (40.5%), moderate in 4 (11%) and poor in 3 (8%).

Conclusion: Anterior surgical approaches provide satisfactory outcomes in appropriate fracture types. Posterior approach can be combined in certain fracture types. We think that rate of the requirement for a concomitant posterior approach for certain fractures of the acetabulum will decrease as experience increases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812922PMC
http://dx.doi.org/10.5152/eurasianjmed.2019.0241DOI Listing

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