| Yazarlar |
Ahmet Emre Paksoy
Atatürk Üniversitesi, Türkiye |
Doç. Dr. Murat TOPAL
Kastamonu Üniversitesi, Türkiye |
|
Ali Aydın
Atatürk Üniversitesi, Türkiye |
|
Kemal Zencirli
|
|
Ahmet Köse
|
|
Vahit Yıldız
Aydın Adnan Menderes Üniversitesi, Türkiye |
| Özet |
| 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. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | ESCI dergilerinde yayımlanan tam makale |
| Dergi Adı | The Eurasian Journal of Medicine |
| Dergi ISSN | 1308-8734 |
| Dergi Tarandığı Indeksler | TR DİZİN |
| Makale Dili | Türkçe |
| Basım Tarihi | 08-2019 |
| Cilt No | 51 |
| Sayı | 3 |
| Sayfalar | 257 / 261 |
| Makale Linki | https://www.eajm.org//en/outcomes-of-surgical-management-of-acetabular-fractures-treated-with-anterior-approaches-133219 |
