Surgical outcome of acetabular fracture using trochanteric flip osteotomy
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | fas |
| Published: |
Tehran University of Medical Sciences
2012-01-01
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| Series: | Tehran University Medical Journal |
| Subjects: | |
| Online Access: | http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-187&slc_lang=en&sid=1 |
| _version_ | 1811268300024315904 |
|---|---|
| author | Mortazavi MJ Motamedi M Niknam A Mazoochy H Espandar R |
| author_facet | Mortazavi MJ Motamedi M Niknam A Mazoochy H Espandar R |
| author_sort | Mortazavi MJ |
| collection | DOAJ |
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Background: One
of the difficulties in acetabulum surgery is appropriate exposure of the site
of surgery. Trochanteric flip osteotomy is one of the surgical methods for
superoposterior and posterior acetabulum exposure. However, due to possible
complications some surgeons prefer to avoid this procedure. This study was
undertaken to determine the outcome of surgical treatment of acetabular
fracture using trochanteric flip osteotomy. Methods : In this prospective cohort study, 14
patients with acetabular fracture who had
been admitted in Imam Khomeini Hospital in Tehran, Iran, during 2003-2006 underwent trochanteric
flip osteotomy. The patients were followed for at least one year post-surgically.
Demographics, radiologic findings, intensity of pain using visual analogue scale
(VAS),
Harris hip score (HHS), force of hip abductors and complications were noted. Data analysis
was performed using SPSS ver. 13.Results : The mean HHS was 82.5 (55-95). Heterotopic ossification was observed in three patients. There were
no cases of postoperative infection or non::::union::::. Only two patients showed
displacement of osteotomized fragments. Reduction was anatomic in 10 patients. In one patient, the
force of hip abductors was three-fifth. The mean hip pain was 3.4 based on VAS. There were no cases of
femoral head osteonecrosis. With respect to HHS, the final hip status was
excellent and good in four and six patients, respectively. Three patients had
fair and only one patient had poor condition.Conclusion: It seems that trochanteric
flip osteotomy has much fewer complications in comparison to other methods justifying
its use in such cases. |
| first_indexed | 2024-04-12T21:20:28Z |
| format | Article |
| id | doaj.art-76de808b22f745ed8c14ce7ce4269bb1 |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-04-12T21:20:28Z |
| publishDate | 2012-01-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-76de808b22f745ed8c14ce7ce4269bb12022-12-22T03:16:20ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222012-01-016910645650Surgical outcome of acetabular fracture using trochanteric flip osteotomyMortazavi MJ0Motamedi M1Niknam A2Mazoochy H3Espandar R4 Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal" mso-tstyle-rowband-size:0 mso-tstyle-colband-size:0 mso-style-noshow:yes mso-style-priority:99 mso-style-qformat:yes mso-style-parent:"" mso-padding-alt:0cm 5.4pt 0cm 5.4pt mso-para-margin:0cm mso-para-margin-bottom:.0001pt mso-pagination:widow-orphan font-size:11.0pt font-family:"Calibri","sans-serif" mso-ascii-font-family:Calibri mso-ascii-theme-font:minor-latin mso-fareast-font-family:"Times New Roman" mso-fareast-theme-font:minor-fareast mso-hansi-font-family:Calibri mso-hansi-theme-font:minor-latin mso-bidi-font-family:Arial mso-bidi-theme-font:minor-bidi} Background: One of the difficulties in acetabulum surgery is appropriate exposure of the site of surgery. Trochanteric flip osteotomy is one of the surgical methods for superoposterior and posterior acetabulum exposure. However, due to possible complications some surgeons prefer to avoid this procedure. This study was undertaken to determine the outcome of surgical treatment of acetabular fracture using trochanteric flip osteotomy. Methods : In this prospective cohort study, 14 patients with acetabular fracture who had been admitted in Imam Khomeini Hospital in Tehran, Iran, during 2003-2006 underwent trochanteric flip osteotomy. The patients were followed for at least one year post-surgically. Demographics, radiologic findings, intensity of pain using visual analogue scale (VAS), Harris hip score (HHS), force of hip abductors and complications were noted. Data analysis was performed using SPSS ver. 13.Results : The mean HHS was 82.5 (55-95). Heterotopic ossification was observed in three patients. There were no cases of postoperative infection or non::::union::::. Only two patients showed displacement of osteotomized fragments. Reduction was anatomic in 10 patients. In one patient, the force of hip abductors was three-fifth. The mean hip pain was 3.4 based on VAS. There were no cases of femoral head osteonecrosis. With respect to HHS, the final hip status was excellent and good in four and six patients, respectively. Three patients had fair and only one patient had poor condition.Conclusion: It seems that trochanteric flip osteotomy has much fewer complications in comparison to other methods justifying its use in such cases.http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-187&slc_lang=en&sid=1Acetabular fractureharris hip scoretrochanteric flip osteotomy |
| spellingShingle | Mortazavi MJ Motamedi M Niknam A Mazoochy H Espandar R Surgical outcome of acetabular fracture using trochanteric flip osteotomy Tehran University Medical Journal Acetabular fracture harris hip score trochanteric flip osteotomy |
| title | Surgical outcome of acetabular fracture using trochanteric flip osteotomy |
| title_full | Surgical outcome of acetabular fracture using trochanteric flip osteotomy |
| title_fullStr | Surgical outcome of acetabular fracture using trochanteric flip osteotomy |
| title_full_unstemmed | Surgical outcome of acetabular fracture using trochanteric flip osteotomy |
| title_short | Surgical outcome of acetabular fracture using trochanteric flip osteotomy |
| title_sort | surgical outcome of acetabular fracture using trochanteric flip osteotomy |
| topic | Acetabular fracture harris hip score trochanteric flip osteotomy |
| url | http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-187&slc_lang=en&sid=1 |
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