Guimarães Rodrigo Pereira, Kaleka Camila Cohen, Cohen Carina, Daniachi Daniel, Keiske Ono Nelson, Honda Emerson Kiyoshi, Polesello Giancarlo Cavalli, Riccioli Walter
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.
Rev Bras Ortop. 2015 Dec 8;44(5):427-31. doi: 10.1016/S2255-4971(15)30274-3. eCollection 2009 Jan.
Correlate the postoperative radiographic evaluation with variables accompanying acetabular fractures in order to determine the predictive factors for segmental impaction of femoral head.
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.
Only tow studied variables-age and amount of postoperative reductionshowed statistically significant correlation with femoral head impaction.
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.
将髋臼骨折术后的影像学评估与相关变量进行关联，以确定股骨头节段性撞击的预测因素。
对接受髋臼切开复位内固定手术患者的病历进行回顾性分析。在约35年的时间里，596例患者接受了髋臼骨折治疗；267例患者接受了至少两年的随访。其他患者被排除，要么是因为随访时间短于最短时间，要么是因为病历中报告的数据不足，要么是因为他们接受了非手术治疗。该组的三名外科医生之一使用Merle d'Aubigné和Postel临床量表以及影像学研究对患者进行随访。
仅两个研究变量——年龄和术后复位程度——与股骨头撞击在统计学上具有显著相关性。
解剖复位或残留偏差达2毫米以内的复位质量，呈现出良好的影像学演变，降低了股骨头节段性撞击的可能性，这是一个具有统计学意义的发现。
