Issue: 2017, Vol. 22, No. 4

Galkin A. G., Voloshin V. P., Sankaranarayan S. A., Shakhov E. N.

The peculiarities of acetabulum fractures operative treatment in polytrauma

Keywords

pelvis fractures, osteosuture, endoprosthetics, polytrauma

Abstarct

Objective - to analyze the midterm results of reconstructive operations and total endoprosthetics in inveterate acetabulum fractures. Material and methods. 160 operations were performed in 128 patients aged 17-76 years in 2005-2015. Harris hip scope was used in order to evaluate their clinical efficacy. 76 patients were enrolled into the first group; they were undergone intramedullar osteosuture by metal bone plates; among them 48 patients with inveterate trauma and 28 ones with trauma remoteness in less than 3 weeks. The second group was formed of 53 patients who undergone hip joint primary total endoprosthetics; among them 24 patients with trauma remoteness in more than one year and 28 patients with trauma remoteness in less than one year. Results. From 76 patients after intramedullar osteosuture by metal bone plates (first group) 44 persons only (58%) were satisfied with the results of the operative treatment (mean estimation by Harris hip scope was amounting to 83 points) among them 27 patients with inveterate trauma and 17 ones with trauma remoteness in less than 3 weeks. Patients from the first group with unsatisfactory results of the treatment (32 persons among them 21 ones with inveterate trauma and 11 patients with trauma remoteness in less than 3 weeks) undergone hip joint total endoprosthetics and after this procedure the mean estimation by Harris hip scope was amounting to 85 points. These patients were transferred to the second group and its quantity was amounting to 84 persons. In the second group the mean functional estimation by Harris hip scope after the treatment was amounting to 86 points. Conclusions. Reposition and osteosuture in acetabulum fractures were hardly to perform in early period; this fact influenced the outcome negatively and required to perform additional operative interventions. Functional and clinical results did not differ in the studied groups of patients with various treatment tactics.

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