Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures

Background:Acetabular fractures are a common clinical challenge. The posterior wall fractures represented 35% of all acetabular fractures and usually complexed. The curative treatment is surgical and depends on the fracture anatomy and surgeon preferences. Aim of the Work:The current study aimed to...

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Autores principales:	Shady Abdou Goda, Asharaf Ezzedeen, Osman Elsherif
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	acetabulum posterior wall fractures open reduction internal fixation Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b38f0aab68e6407ab205f1a299328e56
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spelling	oai:doaj.org-article:b38f0aab68e6407ab205f1a299328e562021-12-02T17:05:59ZOutcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures2636-41742682-378010.21608/ijma.2021.72017.1296https://doaj.org/article/b38f0aab68e6407ab205f1a299328e562021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_187692_cf419823de01cb934c4a207293a43d4a.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background:Acetabular fractures are a common clinical challenge. The posterior wall fractures represented 35% of all acetabular fractures and usually complexed. The curative treatment is surgical and depends on the fracture anatomy and surgeon preferences. Aim of the Work:The current study aimed to assess the short term results of posterior acetabular fractures management by open reduction and internal fixation. Patients and Methods:Thirty patients with displaced posterior wall acetabular fractures were included. They were treated by open reduction and internal fixation using neutralizing plates and screws. All patients were assessed by a pre-prepared trauma assessment sheet. Post-operative, active assisted and pain free passive range of motion exercises in all planes was advised. Functional outcome was evaluated using the Merle D'Aubinge and Postel score. Patients were followed up initially at 3 weeks intervals for first 2 months and thereafter at 6 weekly intervals for the next 6 months. Result:Patients were classified to two groups: Group [A] “70%” patients with isolated posterior wall fracture, and Group [B] “30%” of patients with posterior column plus posterior wall acetabular fracture. Both groups were comparable regarding age, gender, side and mode of trauma. The double plating fixation method was significantly increased in group B when compared to group A [77.8% vs. 0.0% respectively]. Group B was associated with significant increase of operative time than group A [164.44±13.33 vs. 128.57±27.80 minutes, respectively]. Blood loss significantly increased in group B than group A [1422.22±376.76 vs. 780.95±437.46 ml, respectively]. The excellent outcome was significantly associated with younger age, lower or absent complications, and anatomical [good quality] of direct postoperative radiological outcome. Conclusion: Most of our patients had an excellent and good outcome as a result to application of more strict selection criteria of patients and pattern.Shady Abdou GodaAsharaf EzzedeenOsman ElsherifAl-Azhar University, Faculty of Medicine (Damietta)articleacetabulumposterior wallfracturesopen reductioninternal fixationMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1724-1734 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acetabulum posterior wall fractures open reduction internal fixation Medicine (General) R5-920
spellingShingle	acetabulum posterior wall fractures open reduction internal fixation Medicine (General) R5-920 Shady Abdou Goda Asharaf Ezzedeen Osman Elsherif Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures
description	Background:Acetabular fractures are a common clinical challenge. The posterior wall fractures represented 35% of all acetabular fractures and usually complexed. The curative treatment is surgical and depends on the fracture anatomy and surgeon preferences. Aim of the Work:The current study aimed to assess the short term results of posterior acetabular fractures management by open reduction and internal fixation. Patients and Methods:Thirty patients with displaced posterior wall acetabular fractures were included. They were treated by open reduction and internal fixation using neutralizing plates and screws. All patients were assessed by a pre-prepared trauma assessment sheet. Post-operative, active assisted and pain free passive range of motion exercises in all planes was advised. Functional outcome was evaluated using the Merle D'Aubinge and Postel score. Patients were followed up initially at 3 weeks intervals for first 2 months and thereafter at 6 weekly intervals for the next 6 months. Result:Patients were classified to two groups: Group [A] “70%” patients with isolated posterior wall fracture, and Group [B] “30%” of patients with posterior column plus posterior wall acetabular fracture. Both groups were comparable regarding age, gender, side and mode of trauma. The double plating fixation method was significantly increased in group B when compared to group A [77.8% vs. 0.0% respectively]. Group B was associated with significant increase of operative time than group A [164.44±13.33 vs. 128.57±27.80 minutes, respectively]. Blood loss significantly increased in group B than group A [1422.22±376.76 vs. 780.95±437.46 ml, respectively]. The excellent outcome was significantly associated with younger age, lower or absent complications, and anatomical [good quality] of direct postoperative radiological outcome. Conclusion: Most of our patients had an excellent and good outcome as a result to application of more strict selection criteria of patients and pattern.
format	article
author	Shady Abdou Goda Asharaf Ezzedeen Osman Elsherif
author_facet	Shady Abdou Goda Asharaf Ezzedeen Osman Elsherif
author_sort	Shady Abdou Goda
title	Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures
title_short	Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures
title_full	Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures
title_fullStr	Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures
title_full_unstemmed	Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures
title_sort	outcome of open reduction and internal fixation of posterior acetabular fractures
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/b38f0aab68e6407ab205f1a299328e56
work_keys_str_mv	AT shadyabdougoda outcomeofopenreductionandinternalfixationofposterioracetabularfractures AT asharafezzedeen outcomeofopenreductionandinternalfixationofposterioracetabularfractures AT osmanelsherif outcomeofopenreductionandinternalfixationofposterioracetabularfractures
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Outcome of Open Reduction and Internal Fixation of Posterior Acetabular Fractures

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