ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
Outcomes of Surgical Management of Acetabular Fractures Treated with Anterior Approaches
1 Department of Orthopaedics and Traumatology, Yozgat Bozok University School of Medicine, Yozgat, Turkey  
2 Department of Orthopaedics and Traumatology Kastamonu University School of Medicine, Kastamonu, Turkey  
3 Department of Orthopaedics and Traumatology, Erzurum Ataturk University School of Medicine, Erzurum, Turkey  
4 Department of Orthopaedics and Traumatology, Health Sciences University, Erzurum Regional Research and Training Hospital, Erzurum, Turkey  
5 Department of Orthopaedics and Traumatology, Aydin Adnan Menderes University School of Medicine, Aydin, Turkey  
Eurasian J Med ; : -
DOI: 10.5152/eurasianjmed.2019.0241
Key Words: Acetabulum, fracture, anterior approach, outcome
Abstract

 

Objective: In this study we aimed to evaluate the outcomes of anterior and combined approaches for treatment of acetabular fractures.

 

Materials and Methods: Thirty-seven acetabular fractures in 35 patients treated with an anterior approach were evaluated retrospectively. Fractures were classified according to Judet-Letournel. Early and final radiological evaluation was based on Matta’s criteria. Modified Merle d'Aubigne and Postel criteria were used for functional assessment.

 

Results: Eleven (30%) fractures were simple type and 26 (70%) were mixed type. Two (18%) of the simple fractures were transverse and 9(82%) were anterior column fractures. Fourteen (54%) of the mixed type fractures were both column fractures, 5 (19%) were transverse+posterior wall, 5 (19%) were T shaped and 2 (8%) were anterior column+posterior hemitransverse fractures. Surgical approach was ilioinguinal in 15 (43%) patients, Stoppa in 9 (26%) and combined11 (31%). Our functional outcomes were perfect in 10 (27%) hips, good in 20 (54%), moderate in 4 (10%) and poor in 3 (8%). Our radiological results were perfect in 15 (40.5%) hips, good in 15 (40.5%), moderate in 4 (11%) and poor in 3 (8%).

 

Conclusion: Anterior surgical approaches provide satisfactory outcomes in appropriate fracture types. Posterior approach can be combined in certain fracture types. We think that rate of the requirement for a concomitant posterior approach for certain fractures of the acetabulum will decrease as experience increases.

 

Cite this article as: Paksoy AE, Topal M, Aydin A, Zencirli K, Kose A, Yildiz V. Outcomes of Surgical Management of Acetabular Fractures Treated with Anterior Approaches. Eurasian J Med 2019; DOI: 10.5152/eurasianjmed.2019.0241.

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