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A Novel Approach for Treatment of Acetabular Fractures

Identifieur interne : 008902 ( Ncbi/Curation ); précédent : 008901; suivant : 008903

A Novel Approach for Treatment of Acetabular Fractures

Auteurs : Zichao Xue ; Hui Qin ; Haoliang Ding ; Zhiquan An

Source :

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research [ 1234-1010 ] ; 2016.

RBID : PMC:5066504

Abstract

Background

There is no single approach that provides adequate exposure for treatment of all types of acetabular fractures. We describe our experience with an easier, relatively less invasive pubic symphysis approach (PSA) for the treatment of acetabular fractures.

Material/Methods

Between March 2011 and March 2012, fifteen patients with acetabular fracture underwent surgery using the PSA technique. Fracture reduction and treatment outcomes were assessed by clinical and radiological examination. Operation time, intraoperative blood loss and postoperative complications were documented.

Results

Mean operative time was 222±78 minutes. Average blood loss was 993±361 mL. Anatomical reduction was achieved in all patients. Minimum follow-up period was 31 months. Postoperative hypoesthesia in the area of innervation of the lateral femoral cutaneous nerve was reported in one patient, with spontaneous recovery at one month after surgery. No complications were reported during the follow-up period. At the most recent follow up, clinical outcomes were graded as “excellent” in six patients, “good” in eight patients and “fair” in one patient based on the modified Merle d’Aubigné-Postel score.

Conclusions

PSA appears to be a timesaving and safe approach for treatment of acetabular fractures that affords good visual access and allows for excellent fracture reduction. Our preliminary results revealed a much lower incidence of complications than traditional approaches, suggesting PSA is an alternative for treatment of acetabular fractures.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066504

DOI: 10.12659/MSM.898887
PubMed: 27734825
PubMed Central: 5066504

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<author><name sortKey="Xue, Zichao" sort="Xue, Zichao" uniqKey="Xue Z" first="Zichao" last="Xue">Zichao Xue</name>
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<author><name sortKey="Qin, Hui" sort="Qin, Hui" uniqKey="Qin H" first="Hui" last="Qin">Hui Qin</name>
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<author><name sortKey="Ding, Haoliang" sort="Ding, Haoliang" uniqKey="Ding H" first="Haoliang" last="Ding">Haoliang Ding</name>
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<author><name sortKey="An, Zhiquan" sort="An, Zhiquan" uniqKey="An Z" first="Zhiquan" last="An">Zhiquan An</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>There is no single approach that provides adequate exposure for treatment of all types of acetabular fractures. We describe our experience with an easier, relatively less invasive pubic symphysis approach (PSA) for the treatment of acetabular fractures.</p>
</sec>
<sec><title>Material/Methods</title>
<p>Between March 2011 and March 2012, fifteen patients with acetabular fracture underwent surgery using the PSA technique. Fracture reduction and treatment outcomes were assessed by clinical and radiological examination. Operation time, intraoperative blood loss and postoperative complications were documented.</p>
</sec>
<sec><title>Results</title>
<p>Mean operative time was 222±78 minutes. Average blood loss was 993±361 mL. Anatomical reduction was achieved in all patients. Minimum follow-up period was 31 months. Postoperative hypoesthesia in the area of innervation of the lateral femoral cutaneous nerve was reported in one patient, with spontaneous recovery at one month after surgery. No complications were reported during the follow-up period. At the most recent follow up, clinical outcomes were graded as “excellent” in six patients, “good” in eight patients and “fair” in one patient based on the modified Merle d’Aubigné-Postel score.</p>
</sec>
<sec><title>Conclusions</title>
<p>PSA appears to be a timesaving and safe approach for treatment of acetabular fractures that affords good visual access and allows for excellent fracture reduction. Our preliminary results revealed a much lower incidence of complications than traditional approaches, suggesting PSA is an alternative for treatment of acetabular fractures.</p>
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A Novel Approach for Treatment of Acetabular Fractures

A Novel Approach for Treatment of Acetabular Fractures

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