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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Giannoudis et al 7 used the Letournel classification 1 for analysis purposes. We adopted a significance level of 0.
Reprodutibilidade da classificação de Tile para fraturas do acetábulo
The following factors were taken into account: Before the advent of automobiles and motorcycles in modern life, this type of injury was essentially caused by lower-limb adduction or abduction forces at different degrees of intensity, in association with some internally or externally rotated flexion.
Letournel 1 revolutionized the draturas of fractures of the acetabulum through developing better comprehension of this type of injury and rationalizing the surgical approach. National Center for Biotechnology InformationU.
In an extensive review published inGiannoudis et al 7 analyzed studies on displaced fractures of the acetabulum. The qualitative variables of the groups were compared by Pearson’s chi-square xo or the likelihood ratio chi-square test. Description of operative technique and preliminary treatment results.
The authors declare that there was no conflict of interest in conducting this work. Published online Dec Fractures of the acetabulum.
The Ruesch criteria were used: It was observed that tomography was extremely important for scheduling and good progression of the surgery. The initial deviation was measured in the three views and the highest value detected was recorded Figure 1. The clinical evaluation was done in accordance with the Harris criteria, and good or excellent results were obtained for 62 patients Only two patients with sciatic nerve injuries due to trauma did aceetabulo recover.
The decrease in the area of contact between the articular surface of eo femoral head and the acetabulum, caused by poor fracture reduction, leads to increased pressure on the cartilage and the underlying bone.
From the patient registration numbers in INTO, the respective patients’ medical files and image files were then consulted. Central dislocation of the femur.
Old non-united right inferior fratuars ramus fracture. Until the s, closed treatment was the most commonly used; however, the poor results and the fact that this type of fracture is focused on a young and economically active frahuras encouraged orthopedic surgeons to seek new forms of treatment 4,6, Their fractures were of Marvin Tile type B3; their scores in the Harris classification were 72 and 70 points, and their radiological scores were poor in the Ruesch assessment.
The average age of the group with collapse was significantly higher than the group without collapse, with The treatment options varied over the years. A treatment of central fractures of the acetabulum. Clinical outcome of surgical treatment.
With respect to residual postoperative deviation, anatomical reduction was observed in cases Heterotopic ossification was found in only 6. The complications most often found were nerve injuries mostly neuropraxiaosteoarthrosis, infection, heterotopic ossification and loss of reduction, as shown in Table 4.
The present study was conducted in conformity with the Declaration of Helsinki, of the World Medical Association.
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To evaluate the displacement, the Matta criteria were also taken into consideration in measuring the arch of the acetabular roof in the three Judet views 8,9. Case with hidden diagnosis. Table 4 Distribution according to Tile classification 6. Evaluations were made on the 15th, 30th, 60th and 90th days after the operation, six months after the operation and annually thereafter.
Review of one hundred and one dislocations.
Each patient had a single fracture. In our opinion, xcetabulo 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. Out of the patients analyzed, 53 were excluded from the analysis: December 22, Accepted for publication: Over the last 40 years, treatments for displaced fractures of the acetabulum have gone from non-surgical to a preferentially surgical approach.
In the second year return visits were scheduled semestrally, and annually after that. Among the 73 patients, 56 Among the most common complications are osteoarthritis of the hip and avascular necrosis of the femoral head, both of which are diagnosed radiographically 4,10,12,17,22, Figure 1 – Measurement of the initial deviation: Results in fractures. These last authors introduced a didactic classification of fractures of the acetabulum that aids in dealing with them.
All patients underwent radiographic evaluation, which is a standardized examination in the clinic, with the bulb within one meter from the frame of the film. There was one case of preoperative lesion of the superior gluteal vein that required ligature, but without further complications. Clin Orthop Relat Res. In these cases, a displacement of 2 mm remained acetabluo the surgical reduction. Table 7 Associated bone lesions.