医学
外科
髋臼骨折
髋臼
射线照相术
穹顶(地质)
负重
还原(数学)
古生物学
几何学
数学
生物
作者
Ramesh Kumar Sen,Lokesh A. Veerappa
出处
期刊:Journal of Trauma-injury Infection and Critical Care
[Ovid Technologies (Wolters Kluwer)]
日期:2009-07-01
卷期号:67 (1): 155-159
被引量:45
标识
DOI:10.1097/ta.0b013e31819db092
摘要
Background: The purpose of this study was to determine the long-term outcome of conservatively managed acetabular fractures involving the weight-bearing dome, which otherwise deserves an operative treatment. Methods: Thirty-two patients with displaced acetabular fractures (>3 mm displacement) involving the weight-bearing dome and not associated with unstable pelvic ring injuries met the inclusion criteria for this study with a minimum of 2 years of follow-up evaluation. They were assessed using the Merle de’Aubigne and Postel clinical scoring and Matta’s radiologic scoring system. The mean duration of follow-up was 4.1 years (2-12 years). Results: The reducibility of acetabular fractures by conservative management stood at 18 of 32 (56.3%) synchronizing with 18 of 32 (56.3%) good to excellent clinical score. The mean clinical score was 14.25 ± 3.41 of a total score of 18. In patients with good fracture reduction, good to excellent results were seen in 83.3% cases. The radiologic grade was good to excellent in 50% cases with good clinicoradiologic correlation (p = 0.0001). Conclusions: Acetabular fractures involving the weight-bearing dome if reduced by closed means can be maintained by heavy lateral and longitudinal traction resulting in good clinicoradiologic outcome comparable with operative management.
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