Dergiler / Ulusal Travma ve Acil Cerrahi Dergisi / 2022 / Cilt: 28 - Sayı: 8

Comparison of the functional and radiological results of the conservatively and surgically treated displaced acetabulum fractured patients

Sayfa
1170–1179
Yayın Tarihi
2022-11-06
DOI
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We think that there is an alternative to surgical treatment in displaced acetabular fractures and that similar functional results can be obtained in selected cases.

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Amaç & Hipotez:BACKGROUND: The purpose of the study was to compare the functional and radiological results of the conservatively and surgi- cally treated displaced acetabular fractured patients.
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Temel Bulgular & Veri:METHODS: The study included 61 patients with a displaced acetabulum fracture over the age of 18, who have been treated con- servatively or surgically for acetabular fractures, between 2000 and 2014.
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Sonuç & Katkı:We think that there is an alternative to surgical treatment in displaced acetabular fractures and that similar functional results can be obtained in selected cases.
🔬Tür:Araştırma Makalesi
📍Kapsam:2000 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

BACKGROUND: The purpose of the study was to compare the functional and radiological results of the conservatively and surgi- cally treated displaced acetabular fractured patients. METHODS: The study included 61 patients with a displaced acetabulum fracture over the age of 18, who have been treated con- servatively or surgically for acetabular fractures, between 2000 and 2014. Patients were divided into two groups according to their treatment type. Group 1 consisted of conservatively treated 31 between 2000 and 2010 patients and Group 2 consisted of surgically treated 30 patients between 2010 and 2014. The fractures were classified according to Judet and Letournel classification. Clinical evaluation of the patients was conducted according to Modified Merle D’Aubigne Score, SF-36, and Harris Hip Score. Radiological evaluation was evaluated according to Matta’s Radiological Evaluation Criteria. Kolmogorov–Smirnov, t-test, Mann–Whitney U-test, and two Wilcoxon paired sample tests were used for statistical analysis. The significance limit was chosen as p0.05), Matta’s radiological staging score was significantly higher in the operated group (p=0.023). CONCLUSION: Radiological scores are not directly correlated with the functional capacity. We obtained good radiological and functional scores in the surgical group, operative treatment should be considered when absolute indications are there. The outcome of conservatively managed fractures is not bleak. We think that there is an alternative to surgical treatment in displaced acetabular fractures and that similar functional results can be obtained in selected cases.

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Bu Makaleye Atıf Yap

Alpaydın, E., Erem, M., Çopuroğlu, C. (2022). Comparison of the functional and radiological results of the conservatively and surgically treated displaced acetabulum fractured patients. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 28 - Sayı: 8, 1170–1179. https://ajindex.com/articles/644025

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Kaynakça (17)

  1. Aktuğlu K, Kayaokay K. Surgical complications of Acetabulum fractures. In: Aydoğan NH, editör. Pelvis and Acetabulum fractures. Vol
  2. Anka- ra: Türkiye Clinics; 2018. p. 52–9
  3. Tornetta P. Displaced acetabular fractures: İndications for operative and nonoperative management. J Am Acad Orthop Surg 2001;9:18–28
  4. Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br 2005;87:2–9
  5. Moed BR, Carr SE, Watson JT. Results of operative treatment of frac- tures of the posterior wall of the acetabulum. J Bone Joint Surg Am 2002;84:752–8
  6. Magu NK, Rohilla R, Arora S. Conservatively treated acetabular frac- tures: A retrospective analysis. Indian J Orthop 2012;46:36 45
  7. Letournel E, Judet R. The kocher-langenbeck approach. In: Reginald AE, editor. Fractures of the Acetabulum. New York: Springer-Verlag; 1993. p. 364–73
  8. Matta J. Surgical treatment of acetabulum fractures. In: Browner J, editor. Skeletal Trauma. Vol
  9. New Brunswick: Saunders Company; 2003. p. 1109–49
  10. Boudissa M, Ruatti S, Kerschbaumer G, Milaire M, Merloz P, Tonet- ti J. Part 2: Outcome of acetabular fractures and associated prognos- tic factors-a ten-year retrospective study of one hundred and fifty six operated cases with open reduction and internal fixation. Int Orthop 2016;40:2151–6
  11. Judet R, Judet J, Letournel E. Fractures of the acetabulum: Classifica- tion and surgical approaches for open reduction. J Bone Joint Surg Am 1964;46:1615–46
  12. Selek O, Tosun B, Sarlak AY, A new method for reduction quality assess- ment in acetabular fractures: Acetabular congruency measurement. Hıp Int 2019;31:435–9
  13. Matta JM. Acetabular fractures. J Orthop Trauma 2000;14:377–8
  14. Matta JM. Fractures of the acetabulum: Accuracy of reduction and clin- ical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 1996;78:1632–45
  15. Sen RK, Veerappa LA. Long-term outcome of conservatively managed displaced acetabular fractures. J Trauma 2009;67:155–9
  16. Heeg M, Oostvogel HJ, Klasen HJ. Conservative treatment of acetabular fractures: The role of the weight bearing dome and anatomic reduction in the ultimate results. J Trauma 1987;27:555–9
  17. Magala M, Popelka V, Božík M, Heger T, Zamborský V, Šimko P. Con- servative treatment of acetabular fractures: Epidemiology and medi- um-term clinical and radiological results. Acta Chir Orthop Traumatol