The Pararectus approach in acetabular fractures treatment: functional and radiologcial results
Abstract Background The surgical treatment of complex acetabular fractures is one of the most challenging procedures for orthopedic surgeons. The Pararectus approach, as a reasonable alternative to the existing surgical procedures, was performed for the treatment of acetabular fractures involving th...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05275-z |
| _version_ | 1828347598558199808 |
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| author | Guoming Liu Jinli Chen Chengzhi Liang Chengdong Zhang Xuwen Li Yanling Hu |
| author_facet | Guoming Liu Jinli Chen Chengzhi Liang Chengdong Zhang Xuwen Li Yanling Hu |
| author_sort | Guoming Liu |
| collection | DOAJ |
| description | Abstract Background The surgical treatment of complex acetabular fractures is one of the most challenging procedures for orthopedic surgeons. The Pararectus approach, as a reasonable alternative to the existing surgical procedures, was performed for the treatment of acetabular fractures involving the anterior column. This study aimed to evaluate outcome using the Pararectus approach for acetabular fractures involving anterior columns. Methods Thirty-seven with displaced acetabular fractures involving anterior columns were treated between July 2016 and October 2019 using the Pararectus approach. The functional outcomes (using the Merle d Aubigné and Postel scoring system, WOMAC and modified Harris scoring), the quality of surgical reduction (using the Matta criteria), and postoperative complications were assessed during approximately 26 months follow-up period. Results Thirty-seven patients (mean age 53 years, range: 30–71; 28 male) underwent surgery. Mean intraoperative blood loss was 840 ml (rang: 400–2000 ml) and mean operating time was 210 min (rang: 140–500 min). The modified Merle d Aubigné score was excellent and good in 27 cases (73%), fair in 6 cases (16%), and poor in 3 cases (11%). The mean score was 88.5 (range:77–96) for the modified Harris Hip scores, and 22 (range:7–35) for the WOMAC scores after operation. Postoperative functional outcomes were significantly improved compared with preoperative outcomes (P < 0.0001). The quality of reduction was anatomical in 21 cases (57%), satisfactory in 9 cases (24%), and unsatisfactory in 7 cases (19%). At follow-up, four patients developed a DVT, and heterotopic bone formation was observed in one patient. The hip osteoarthritis was not observed. Conclusion The Pararectus approach achieved good functional outcomes and anatomical reduction in the treatment of acetabular fractures involving anterior column with minimal access morbidity. |
| first_indexed | 2024-04-14T00:42:43Z |
| format | Article |
| id | doaj.art-b8f7e1cecc4e4becb49a69490a51ce16 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-14T00:42:43Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-b8f7e1cecc4e4becb49a69490a51ce162022-12-22T02:22:09ZengBMCBMC Musculoskeletal Disorders1471-24742022-04-012311710.1186/s12891-022-05275-zThe Pararectus approach in acetabular fractures treatment: functional and radiologcial resultsGuoming Liu0Jinli Chen1Chengzhi Liang2Chengdong Zhang3Xuwen Li4Yanling Hu5Department of Orthopedics, Affiliated Hospital of Qingdao UniversityDepartment of Orthopedics, Affiliated Hospital of Qingdao UniversityDepartment of Orthopedics, Affiliated Hospital of Qingdao UniversityDepartment of Orthopedics, Affiliated Hospital of Qingdao UniversityDepartment of Orthopedics, Affiliated Hospital of Qingdao UniversityDepartment of Orthopedics, Affiliated Hospital of Qingdao UniversityAbstract Background The surgical treatment of complex acetabular fractures is one of the most challenging procedures for orthopedic surgeons. The Pararectus approach, as a reasonable alternative to the existing surgical procedures, was performed for the treatment of acetabular fractures involving the anterior column. This study aimed to evaluate outcome using the Pararectus approach for acetabular fractures involving anterior columns. Methods Thirty-seven with displaced acetabular fractures involving anterior columns were treated between July 2016 and October 2019 using the Pararectus approach. The functional outcomes (using the Merle d Aubigné and Postel scoring system, WOMAC and modified Harris scoring), the quality of surgical reduction (using the Matta criteria), and postoperative complications were assessed during approximately 26 months follow-up period. Results Thirty-seven patients (mean age 53 years, range: 30–71; 28 male) underwent surgery. Mean intraoperative blood loss was 840 ml (rang: 400–2000 ml) and mean operating time was 210 min (rang: 140–500 min). The modified Merle d Aubigné score was excellent and good in 27 cases (73%), fair in 6 cases (16%), and poor in 3 cases (11%). The mean score was 88.5 (range:77–96) for the modified Harris Hip scores, and 22 (range:7–35) for the WOMAC scores after operation. Postoperative functional outcomes were significantly improved compared with preoperative outcomes (P < 0.0001). The quality of reduction was anatomical in 21 cases (57%), satisfactory in 9 cases (24%), and unsatisfactory in 7 cases (19%). At follow-up, four patients developed a DVT, and heterotopic bone formation was observed in one patient. The hip osteoarthritis was not observed. Conclusion The Pararectus approach achieved good functional outcomes and anatomical reduction in the treatment of acetabular fractures involving anterior column with minimal access morbidity.https://doi.org/10.1186/s12891-022-05275-zAcetabular fracturePararectus approachSurgical exposureOutcomeRadiological results |
| spellingShingle | Guoming Liu Jinli Chen Chengzhi Liang Chengdong Zhang Xuwen Li Yanling Hu The Pararectus approach in acetabular fractures treatment: functional and radiologcial results BMC Musculoskeletal Disorders Acetabular fracture Pararectus approach Surgical exposure Outcome Radiological results |
| title | The Pararectus approach in acetabular fractures treatment: functional and radiologcial results |
| title_full | The Pararectus approach in acetabular fractures treatment: functional and radiologcial results |
| title_fullStr | The Pararectus approach in acetabular fractures treatment: functional and radiologcial results |
| title_full_unstemmed | The Pararectus approach in acetabular fractures treatment: functional and radiologcial results |
| title_short | The Pararectus approach in acetabular fractures treatment: functional and radiologcial results |
| title_sort | pararectus approach in acetabular fractures treatment functional and radiologcial results |
| topic | Acetabular fracture Pararectus approach Surgical exposure Outcome Radiological results |
| url | https://doi.org/10.1186/s12891-022-05275-z |
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