Zyman CJ, Martínez Del Campo SA

Language: Spanish
References: 14
Page: 251-256
PDF size: 129.30 Kb.

ABSTRACT

Introduction: Acetabular fractures are seen more frequently in emergency services, although compared to other fractures, they are quite rare injuries; it is of paramount importance the understanding and adequate knowledge for the orthopedic surgeons. Determining the prevalence of acetabulum fractures, as well as patient characteristics, injury mechanism and associated injuries; it will allow us to develop and improve the diagnostic and treatment strategies for these patients, as well as future therapeutic research in our hospital. Material and methods: Transversal design, descriptive and retrospective. We reviewed cases with acetabulum fractures treated during November 1, 2012 to October 31, 2016. Results: Most of the patients were men (75%). The most common types of fractures were posterior wall (22.3%), followed by both columns (19.0%). The mechanism of the lesion was different by gender, the automobile accident is 1.1 times more likely in women than in men, but the fall from three or more meters is 6.0 times more likely in men; instead, women are 1.9 times more likely to be hit and 2.0 times to fall from their supportive plane (p = 0.02). The fractures with the highest proportion of associated orthopedic injuries correspond first to those of anterior wall of which 80.0% had associated injuries. Discussion: Our results are consistent with what is reported in the literature at the international level.

REFERENCES

1. Mauffrey C, Hao J, Cuellar DO 3rd, Herbert B, Chen X, Liu B, et al. The epidemiology and injury patterns of acetabular fractures: are the USA and China comparable? Clin Orthop Relat Res. 2014; 472(11): 3332-7.

2. Estrems-Díaz V, Hernández-Ferrando L, Balaguer-Andrés J, Bru-Pomer A. Acetabular fractures: short-term results. Rev Esp Cir Ortop Traumatol. 2012; 56(1): 17-23.

3. Liebergall M, Mosheiff R, Low J, Goldvirt M, Matan Y, Segal D. Acetabular fractures. Clinical outcome of surgical treatment. Clin Orthop Relat Res. 1999; (366): 205-16.

4. Helfet DL, Bartlett II CS. Acetabular fractures Evaluation/classification/treatment concepts and approaches in AO principles of fracture management. Stuttgart, New York: Thieme; 2000: 415-438.

5. Alton TB, Gee AO. Classifications in brief: Letournel classification for acetabular fractures. Clin Orthop Relat Res. 2014; 472(1): 35-8.

6. Lawrence DA, Menn K, Baumgaertner M, Haims AH. Acetabular fractures: anatomic and clinical considerations. AJR Am J Roentgenol. 2013; 201(3): W425-36.

7. Ohashi K, El-Khoury GY, Abu-Zahra KW, Berbaum KS. Interobserver agreement for Letournel acetabular fracture classification with multidetector CT: are standard Judet radiographs necessary? Radiology. 2006; 241(2): 386-91.

8. Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res. 1980; (151): 81-106.

9. Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg Am. 1964; 46: 1615-46.

10. Letournel E, Judet R. Fractures of the acetabulum. 2nd ed. In: Elson RA, transl, ed. New York, NY: Springer; 1993.

11. Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, et al. Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma. 2007; 21(10 Suppl): S1-133.

12. Laird A, Keating JF. Acetabular fractures: a 16-year prospective epidemiological study. J Bone Joint Surg Br. 2005; 87(7): 969-73.

13. Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am. 1996; 78(11): 1632-45.

14. Mesbahi SAR, Ghaemmaghami A, Ghaemmaghami S, Farhadi P. Outcome after surgical management of acetabular fractures: a 7-year experience. Bull Emerg Trauma. 2018; 6(1): 37-44.