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Published on: November 8, 2024
421
OUTCOMES OF SURGICAL TREATMENT FOR DISPLACED BOTH-COLUMN ACETABULAR FRACTURES.
Nikola Bulatović1,2, Nadomir Gusić3, Tomislav Čengić4
1Department of Orthopedic Surgery and Traumatology, Clinical Center of Montenegro, Podgorica, Montenegro.
Acta Clinica Croatica
|February 2, 2024
Summary
Complex acetabulum fractures require early surgical intervention for optimal outcomes. Despite high complication rates, anatomical reduction and stable fixation improve functional results in these severe injuries.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Complex both-column acetabulum fractures are severe injuries with unpredictable outcomes.
- Early surgical treatment with anatomical reduction and stable fixation is crucial for favorable results.
Purpose of the Study:
- To evaluate the clinical and functional outcomes of complex both-column acetabulum fractures treated with a combined surgical approach.
- To identify factors influencing treatment success and complications.
Main Methods:
- Retrospective-prospective multicenter cohort study (2014-2020) of 24 patients.
- Utilized Letournel and Judet classification.
- Employed a combined modified Stoppa and Kocher-Langenbeck surgical approach.
Main Results:
- High-energy trauma (traffic accidents, falls) was the primary cause.
- Postoperative complications occurred in 58.33% of cases, including infections, thromboembolism, and osteoarthrosis.
- No loss of reduction or non-union observed.
- Excellent to good functional results (Harris Hip Score) in 81.82% of patients.
Conclusions:
- Primary injury severity significantly impacts clinical and functional outcomes.
- Comprehensive diagnostic assessment, trauma scoring, and timely surgical intervention (reduction, internal fixation) followed by rehabilitation are essential.
- Careful patient selection and management are key to improving outcomes in complex acetabulum fractures.
