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O objetivo do presente artigo é revisar a literatura disponível sobre o uso da abordagem de Stoppa modificada em fraturas de acetábulo. Balbachevsky D, Pires RE, Faloppa F, Reis F. Tratamento das fraturas da pelve e acetábulo pela via de Stoppa modificada. Acta Ortop Bras. Lesões arteriais potencialmente mortais associadas a fraturas do acetábulo: A propósito de um caso clínico. Rev. Port. Ortop. Traum. [online]. , vol, n.2, .

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Fractures of the acetabulum: Log in Sign up. J Bone Joint Surg Br.

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All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Because our service does not have an open emergency service and is exclusively an orthopedic acettabulo, we did not take into consideration lesions associated with systems other than the musculoskeletal system, because of the profile of our institution and the patients that it attends.

Frafuras sex, 64 were male Also during the postoperative period, the patients were assessed by means of a questionnaire in which they were classified according to the Harris scoring criteria, and this examination was repeated at all the return visits Letournel 1 draturas the treatment of fractures of the acetabulum through developing better comprehension of this type of injury and rationalizing the surgical approach.

Sciatic nerve injuries were seen in 10 patients: The patients were released for passive movements under guidance on the first day after the operation, and the loading placed on the operated joint was limited over the first 90 days.

Prospective study on seventy-six cases of fractured acetabulum with surgical treatment

However, through the stimulation of this study, we intend to correlate our epidemiological findings with the therapeutic approach implemented and its functional repercussion among patients undergoing osteosynthesis on acetabular fractures at our institution, in a future study.

Fractures of the acetabulum. Incidence and a method of classification. Case Discussion This fracture is a “both-column” injury – where the anterior and posterior columns are disrupted with extension to the obturator ring and iliac wing. A histological study of avascular necrosis of the femoral head transcervical fracture.


Acetabular fracture | Radiology Case |

Exposed fractures or associated dislocations were treated as emergencies. Distinguishing avascular necrosis from segmental impaction afetabulo the femoral head following an acetabular fracture: In the analysis of cases there was a statistically significant correlation between acetabullo collapse and poor fracture reduction, and we therefore believe that this is a determining variable of the process. No prophylaxis for heterotopic ossification was administered.

They also received venous antibiotic therapy first-generation cephalosporin starting from the perioperative period, acetaabulo of two grams intravenously at the time of induction of anesthesia and a further two grams every six hours after the operation, for another 24 hours. The distribution of the types of access in relation to the types of fracture is shown in Table 6.

To this end, it is recommended to use classification methods that indicate the prognosis and treatment 4.

All the patients underwent clinical and radiographic evaluations. Heterotopic ossification was found in only 6.

This is the most common acetabular fracture pattern. It is believed that the low incidence found in the frautras study was due to early treatment.

The purpose of this study was to review the epidemiological aspects of displacement fractures of the acetabulum that had been treated surgically at the National Institute of Traumatology and Orthopedics INTO. These patients underwent reduction of their coxofemoral dislocation on the day of the trauma.

The results found were compatible with those in the literature. Author information Copyright and License information Disclaimer.

Thus, the present study draws attention to the fact that although our institution has a center dedicated exclusively to fractures of the pelvic ring and acetabulum, we nonetheless have difficulty in proceeding with surgical treatment within the recommended ideal time period 3.

Left inferior pubic rami fracture. Starting from these concepts, many surgeons were encouraged to treat these injuries surgically and, since then, many studies on surgical treatment of frayuras lesions have been published. As has been stated in several studies on fractures of the acetabulum, the treatment of choice for displaced fractures with significant joint involvement is open reduction and anatomical internal fixation There were two cases of avascular necrosis of the femoral head. For each fracture, between one and four acetabular reconstruction plates were acetabuulo.


We excluded patients who underwent nonoperative treatment, those who did not have a minimum postoperative period of two years, or when they did not bring all the necessary information to our study.

Sacro-iliac joints and pubic symphysis are congruent. The complications were assessed and, in comparison with the literature, were shown to be compatible with previous reports even after the statistical analysis. The decrease in the area of contact between the articular surface of the femoral head and the acetabulum, caused by poor fracture reduction, leads to increased pressure on the cartilage and the underlying bone.

Dislocation was observed in 91 cases Unable to process the form.

In our opinion, the general principles of treatment of articular fractures should be applied to the hip joint, even more so because it is a weight-bearing joint with a large range of motion. Surgical revision of malreduced acetabular fractures. Thus, early intervention, a correct approach, good stabilization and reduction are important for minimizing the number of complications , A retrospective analysis was conducted on fractures of the acetabulum that were treated surgically by physicians at the Pelvis and Acetabulum Center of INTO, between March and November A review of the treatment of hip dislocations associated with acetabular aetabulo.

Out of the patients analyzed, 53 were excluded from the analysis: Check for errors and try again. Prognosis of fractures of the acetabulum.