Department of Orthopaedics, Devdaha Medical College and Research Institute, Devdaha, Rupandehi, Nepal.
Hospice Department, Access Care Management Consultancy, Van Nuys, California, United States of America.
JNMA J Nepal Med Assoc. 2023 Nov 1;61(267):886-889. doi: 10.31729/jnma.6492.
Surgical management of pelvic and acetabular fractures due to high-energy trauma is one of the most challenging in orthopaedics. Most patients are often associated with other life-threatening injuries. Several studies demonstrated that accurate fracture reduction decreases the incidence of post-traumatic arthritis and improves functional outcomes. The aim of the study was to find out the prevalence of the surgical management among patients with acetabular-pelvis fractures in a trauma care centre.
This is a descriptive observational study conducted at a trauma hospital from 1 September 2016 to 31 August 2020. Ethical approval was obtained from the Institutional Review Committee. Patients with displaced fractures of the pelvis ring or acetabulum were included in the study whereas isolated pubic rami fractures and pathological fractures were excluded from the study. Operative plans were decided after radiographic X-rays and 3-dimensional reconstruction computed tomography scan evaluation. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Among 136 patients with acetabular-pelvis fractures, 64 (47.06%) (38.67-55.45, 95% Confidence Interval) underwent surgical management. The average time duration from injury to surgery was 7 days. All patients were able to weight bear 3 months.
The prevalence of surgical management among patients with pelvic-acetabular fracture was found to be similar to the other studies done in similar settings.
acetabulum; fracture fixation; pelvis.
由于高能创伤导致的骨盆和髋臼骨折的手术治疗是骨科中最具挑战性的之一。大多数患者通常还伴有其他危及生命的损伤。多项研究表明，准确的骨折复位可降低创伤后关节炎的发生率，并改善功能预后。本研究旨在了解创伤中心髋臼骨盆骨折患者的手术治疗情况。
这是一项在创伤医院进行的描述性观察研究，时间为 2016 年 9 月 1 日至 2020 年 8 月 31 日。本研究获得了机构审查委员会的伦理批准。纳入研究的患者为骨盆环或髋臼移位性骨折，而排除孤立性耻骨支骨折和病理性骨折。在进行 X 射线和三维重建计算机断层扫描评估后，决定手术方案。采用便利抽样法。点估计值在 95%置信区间内计算。
在 136 例髋臼骨盆骨折患者中，有 64 例（47.06%）（38.67-55.45，95%置信区间）接受了手术治疗。从受伤到手术的平均时间间隔为 7 天。所有患者均能在 3 个月后负重。
骨盆髋臼骨折患者的手术治疗比例与其他类似环境下的研究相似。
髋臼；骨折固定术；骨盆。
