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Published on: September 7, 2022
[Complications of operative treatment of acetabular fractures]
Shi-wen Zhu1, Man-yi Wang, Xin-bao Wu
1Department of Traumatology and Orthopaedics, Beijing Jishitan Hospital, Beijing 100035, China.
Objective:
To improve the effect of operative management of acetabular fractures.
Methods:
One hundred and seventy eight acetabular fractures were treated operatively from August 1993 to December 2000. Their functional results and complications were analyzed.
Results:
One hundred and twelve hips were followed up for an average of 45.7 months. Heterotopic ossification was noted in 26 hips, post-operative osteoarthritis in 22 hips, avascular necrosis of the femoral head in 8 hips, and sciatic nerve injury in 7 hips after operations. No death and infection were found in this series.
Conclusions:
Ectopic bone formation develops at extended ilio-femoral and Kocher-Langeneck approaches. Cartilaginous injury of the femoral head is contributable to post-operative osteoarthritis, and imperfect reduction is an important factor in the genesis of osteoarthritis.
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