Surgical Stabilization of Pelvic and Acetabular Fractures: A Review on the Determinants of Clinical Outcomes
Journal Title: Malaysian Orthopaedic Journal - Year 2010, Vol 4, Issue 1
Abstract
Aim: Pelvic and acetabular fractures are associated with high-energy trauma. The aim of this study was to identify factors that are associated with specific clinical outcomes following treatment for these fractures. Methods: A consecutive series of 30 patients who had surgical intervention for either pelvic or acetabular fractures formed the sample for this study. Clinical variables reviewed were: age, associated injuries, number of surgical procedures, time to surgery and post-operative complications. Clinical outcomes were assessed using Matta’s grading of postoperative fracture reduction alignment, and functional outcomes were graded using D'Aubigne & Postel’s Hip scoring system. Results: Study subjects included twelve pelvic fractures and eighteen acetabular fractures. Patients older than 50 years of age had poorer hip scores despite surgery. Earlier fracture fixation (within five days) was associated with better hip scores. Patients with acetabular fractures generally had better functional outcomes than patients with pelvic fractures (mean hip score 15.0 vs. 13.5). Closer anatomical reduction of acetabular fractures was associated with better functional outcome. Conclusion: Improved clinical outcomes are associated with younger age, fewer concomitant injuries, shorter time interval to surgery and more closely approximated anatomical fracture reduction.
Authors and Affiliations
SS Sathappan, CM Qi, A Pillai
Keywords
Related Articles
- EP ID EP299598
- DOI -
- Views 125
- Downloads 0
Long Term Follow-up of an Open Bicondylar Hoffa Fracture with a Disrupted Extensor Mechanism: A Case Report
This is the first report of a long-term follow-up of an open bicondylar Hoffa with patella fracture. It is interesting to note the radiological changes of osteoarthritis 15 years after global intra-articular injury of th...
Surgical Mentoring: Building Tomorrow’s Leaders
The book is written in an easy-to-read format and the authors describe their own experiences with references to the current literature. Specific examples of how mentoring should be performed are mentioned.
Open Total Talus Dislocation: A Case Report
Total talus dislocation is a rare injury and is commonly accompanied by associated fractures. Common worrisome sequelae are infection, avascular necrosis and post-traumatic arthritis. We report here on a patient who sust...
Benign Subcutaneous Emphysema of the Upper Limb: A Case Report
Subcutaneous emphysema is the presence of gas or air in the subcutaneous tissue plane. The term is generally used to describe any soft tissue emphysema of the body wall or limbs, it can result from benign causes, most co...
Augmented Repair of Degenerative Tears of Tendo Achilles Using Peroneus Brevis Tendon: Early Results
Reconstruction of degenerated ruptures of the tendoachilles is a challenge. Ruptured tendons and the remaining tendon ends are abnormal. A number of methods have been described in literature reconstruct the tendoachilles...