Percutaneous fixation of acetabular fractures

EFORT Open Reviews

article

Horacio Caviglia¹  Adrian Mejail¹  Maria Eulalia Landro¹  Nosratolah Vatani¹ 

[1] Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital

关键词: acetabular fractures;    percutaneous fixation;    windows;    corridor;   

DOI  :  10.1302/2058-5241.3.170054

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Acetabular fractures are infrequent fractures with an incidence of 3/100 000 per year.1 Judet and Letournel2,3 were the first to describe treatment for acetabular fractures. Their surgical treatment was based on anatomical reduction and internal fixation of fractures.2 The objective of surgery is to achieve exact reduction to restore joint congruence, to adequately fix internal bone fragments, avoid displacement of the fracture and allow rapid rehabilitation.3 Open reduction and internal fixation (ORIF) of fractures, associated with rapid rehabilitation, is considered the ‘benchmark’ for treatment.4-8 Judet et  al2,3,9 have shown that an anatomical reduction with a gap of 2 mm or less is a predictor of good joint function and reduced risk of post-traumatic osteoarthritis. Therefore, the surgeon should try to obtain reductions with zero displacement or up to 1 mm. The anatomical reduction and stable osteosynthesis of the acetabular dome are fundamental to successful joint congruence and permit normal transfer of body weight.

【 授权许可】

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