Long-term outcomes of surgical treatment of patients with acetabular fractures
Objective To review long-term outcomes of surgical treatment of patients with acetabular fractures using an original outcome assessment questionnaire. Material and methods The study included 79 patients with acetabular fractures. The patients' age ranged from 16 to 67 years. Long-term follow-u...
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2020-09-01
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| Series: | Гений oртопедии |
| Subjects: |
| _version_ | 1828837746747113472 |
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| author | Aleksey B. Petrov Vasiliy I. Ruzanov Timur S. Mashukov |
| author_facet | Aleksey B. Petrov Vasiliy I. Ruzanov Timur S. Mashukov |
| author_sort | Aleksey B. Petrov |
| collection | DOAJ |
| description | Objective To review long-term outcomes of surgical treatment of patients with acetabular fractures using an original outcome assessment questionnaire.
Material and methods The study included 79 patients with acetabular fractures. The patients' age ranged from 16 to 67 years. Long-term follow-ups
were evaluated with an original questionnaire measuring pain intensity, timings of primary surgery, reoperations including total hip replacement, technical
details, accuracy of bone reduction/residual displacement and extent of restricted working capacity. Results Good and satisfactory long-term outcomes
of acetabular fractures repaired with a primary surgery performed 22.7 ± 5.7 days of injury were observed in 43 (54.4 %) patients with complete bone
reduction or 1–2 mm of residual displacement. Severe posttraumatic coxarthrosis, complications (avascular necrosis of the femoral head) or incomplete
bone reduction with residual displacement of 2 mm to 2 cm detected in 36 (45.6 %) patients were rated as a poor outcome and required total hip replacement.
Conclusion An active surgical approach to acetabular fractures employing open reduction and arthroplasties has shown to provide a good rehabilitation
effect even for neglected cases with adequate restitution of the hip joint congruence ensured. |
| first_indexed | 2024-12-12T18:48:34Z |
| format | Article |
| id | doaj.art-71be43c3ca9f4e50b5551abc5fdaaad5 |
| institution | Directory Open Access Journal |
| issn | 1028-4427 2542-131X |
| language | English |
| last_indexed | 2024-12-12T18:48:34Z |
| publishDate | 2020-09-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj.art-71be43c3ca9f4e50b5551abc5fdaaad52022-12-22T00:15:27ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2020-09-0126330030510.18019/1028-4427-2020-26-3-300-305Long-term outcomes of surgical treatment of patients with acetabular fracturesAleksey B. Petrov0Vasiliy I. Ruzanov1Timur S. Mashukov2Research Institute of Traumatology, Orthopedics and Neurosurgery, Saratov State Medical University named after V.I. Razumovsky, Saratov, Russian FederationResearch Institute of Traumatology, Orthopedics and Neurosurgery, Saratov State Medical University named after V.I. Razumovsky, Saratov, Russian FederationResearch Institute of Traumatology, Orthopedics and Neurosurgery, Saratov State Medical University named after V.I. Razumovsky, Saratov, Russian FederationObjective To review long-term outcomes of surgical treatment of patients with acetabular fractures using an original outcome assessment questionnaire. Material and methods The study included 79 patients with acetabular fractures. The patients' age ranged from 16 to 67 years. Long-term follow-ups were evaluated with an original questionnaire measuring pain intensity, timings of primary surgery, reoperations including total hip replacement, technical details, accuracy of bone reduction/residual displacement and extent of restricted working capacity. Results Good and satisfactory long-term outcomes of acetabular fractures repaired with a primary surgery performed 22.7 ± 5.7 days of injury were observed in 43 (54.4 %) patients with complete bone reduction or 1–2 mm of residual displacement. Severe posttraumatic coxarthrosis, complications (avascular necrosis of the femoral head) or incomplete bone reduction with residual displacement of 2 mm to 2 cm detected in 36 (45.6 %) patients were rated as a poor outcome and required total hip replacement. Conclusion An active surgical approach to acetabular fractures employing open reduction and arthroplasties has shown to provide a good rehabilitation effect even for neglected cases with adequate restitution of the hip joint congruence ensured.acetabulumfracturesurgical treatmentlong-term result |
| spellingShingle | Aleksey B. Petrov Vasiliy I. Ruzanov Timur S. Mashukov Long-term outcomes of surgical treatment of patients with acetabular fractures Гений oртопедии acetabulum fracture surgical treatment long-term result |
| title | Long-term outcomes of surgical treatment of patients with acetabular fractures |
| title_full | Long-term outcomes of surgical treatment of patients with acetabular fractures |
| title_fullStr | Long-term outcomes of surgical treatment of patients with acetabular fractures |
| title_full_unstemmed | Long-term outcomes of surgical treatment of patients with acetabular fractures |
| title_short | Long-term outcomes of surgical treatment of patients with acetabular fractures |
| title_sort | long term outcomes of surgical treatment of patients with acetabular fractures |
| topic | acetabulum fracture surgical treatment long-term result |
| work_keys_str_mv | AT alekseybpetrov longtermoutcomesofsurgicaltreatmentofpatientswithacetabularfractures AT vasiliyiruzanov longtermoutcomesofsurgicaltreatmentofpatientswithacetabularfractures AT timursmashukov longtermoutcomesofsurgicaltreatmentofpatientswithacetabularfractures |