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Outcomes of Surgical Management of Acetabular Fractures Treated with Anterior Approaches   
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
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