The Acetabular Fracture-Dislocations: Management and Long-Term Prognosis; Retrospective Study of 62 Cases
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: Acetabular Dislocation fractures are most often due to high-energy trauma. They constitute a therapeutic emergency, the association of the dislocation with an acetabulum fracture makes the question of the therapeutic choice between orthopedic treatment and medical treatments appear. We report a retrospective study of 62 cases collected in the orthopedic department of the Rabat University Hospital Center. We evaluated the results of our treatment but also the prognosis in the short and long term. In our series, 44 patients received orthopedic treatment while 18 left were operated; the most used approach is the posterior approach. The functional results were evaluated after a decline of 3 to 8 years, according to the rating of Merle d'Aubigné. We got 90% of satisfactory results. The comparison of our results with those of the literature shows that the result of orthopedic and surgical treatments depends essentially on the type of fracture. The long-term prognosis remains unpredictable. The occurrence of late complications such as cephalic necrosis and osteoarthritis is always unpredictable, which requires regular and prolonged monitoring of patients. Dislocation fractures of the acetabulum are severe, occurring most often in the fasting adult due to high energy trauma. Their prognosis remains unpredictable, as well as the favorable evolution is linked to an adequate management.
Authors and Affiliations
Mounir Rhounimi, Amine Azirar, Ayoub Bouya, Reda Allah Bassir, Moncef Boufettal, Mohamed Kharmaz, My Omar Lamrani, Mohamed El Ouadgiri, Mustafa Mahfoud, Ahmed El Bardouni, Mohammed Saleh Berrada
Keywords
Related Articles
- EP ID EP474718
- DOI -
- Views 58
- Downloads 0
Medical line of treatment versus surgical approach in the treatment of chronic peptic ulcer
Peptic ulcer disease was one of the major cause of morbidity and mortality until the last decades of the 20th century. In resent time epidemiological trends started to point to an impressive fall in its incidence due to...
Thyroid Cytology- Diversity of the Category “atypia of undetermined significance/ follicular lesion of undetermined significance”
Abstract: Fine needle aspiration cytology (FNAC) is a well-established diagnostic technique for the preoperative evaluation of thyroid nodules allowing a significant reduction in the number of surgical operations. Over t...
Effect of Taurine Pre-treatment on Hematological Parameters in Isoproterenol Induced Myocardial Infarction in Albino Rats
Cardiovascular diseases form the major health concern in recent years, causing severe illness and death throughout the world. About 16.7 million people around the globe die of myocardial infarction every year (WHO 2004)...
Anaesthetic Consideration for Caesarean Delivery in a Parturient With Motor Neuron Disease
Abstract: Parturient with pre-existing central nervous system disorder like motor neuron disease poses a unique challenge to the anaesthesiologist. The choice of proper anaesthetic technique is still contentious and depe...
Internet of Things: Challenges in Web Based Remote Patient Monitoring (RPM)
Remote monitoring concept raises a lot of interesting possibilities, and helps to address different issues continually faced with effective patient administration. It is possible to record and transmit the vital signs of...