ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED.
作者信息
Guimarães Rodrigo Pereira, Kaleka Camila Cohen, Cohen Carina, Daniachi Daniel, Keiske Ono Nelson, Honda Emerson Kiyoshi, Polesello Giancarlo Cavalli, Riccioli Walter
机构信息
Education Teacher, FCMSCSP; Assistant, Hip Group, Department of Orthopedics and Traumatology, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, Brazil.
Resident, Department of Orthopedics and Traumatology, FCMSCSP, São Paulo, Brazil.
出版信息
Rev Bras Ortop. 2015 Dec 8;44(5):427-31. doi: 10.1016/S2255-4971(15)30274-3. eCollection 2009 Jan.
OBJECTIVE
Correlate the postoperative radiographic evaluation with variables accompanying acetabular fractures in order to determine the predictive factors for segmental impaction of femoral head.
METHODS
Retrospective analysis of medial files of patients submitted to open reduction surgery with internal acetabular fixation. Within approximately 35 years, 596 patients were treated for acetabular fractures; 267 were followed up for at least two years. The others were excluded either because their follow up was shorter than the minimum time, or as a result of the lack of sufficient data reported on files, or because they had been submitted to non-surgical treatment. The patients were followed up by one of three surgeons of the group using the Merle d'Aubigné and Postel clinical scales as well as radiological studies.
RESULTS
Only tow studied variables-age and amount of postoperative reductionshowed statistically significant correlation with femoral head impaction.
CONCLUSIONS
The quality of reduction-anatomical or with up to 2mm residual deviation-presents a good radiographic evolution, reducing the potential for segmental impaction of the femoral head, a statistically significant finding.
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