Surgically Treated Posterior Acetabular Fractures Via Iselin’s Modified Approach with A Short-Term Follow-Up

Erdem DEĞİRMENCİ; Zafer ORHAN; Mehmet ARICAN; Zekeriya KARADUMAN; Yalçın TURHAN; Ozan TURHAL

doi:https://doi.org/10.19127/mbsjohs.561885

Makale detayları

Surgically Treated Posterior Acetabular Fractures Via Iselin’s Modified Approach with A Short-Term Follow-Up

Yazarlar:

Erdem DEĞİRMENCİ | Zafer ORHAN | Mehmet ARICAN | Zekeriya KARADUMAN | Yalçın TURHAN | Ozan TURHAL

Yayıncı:

Ordu University

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Middle Black Sea Journal of Health Science 2019 Vol.5 Issue 2, pp.93-99

Belge Tipi:

Makale

Yayın Tarihi:

8/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000564308

Sıklık:

Üç Yıllık

eISSN:

2149-7796

DOI:

https://doi.org/10.19127/mbsjohs.561885

Özet:

 





Objective: The main purpose of the surgical
treatment of posterior acetabular fracture is to achieve anatomical reduction
to attain a functional and stable hip joint without pain. Although
Kocher-Langenbeck (K-L) approach is the most commonly used surgical exposure,
various modified approaches have been described in the literature. The aim of
this study to determine the early surgical results of the acetabulum posterior
fractures surgery via Iselin's modified K-L approach.




Methods: We reviewed the hospital records of
patients who were operated for acetabulum posterior wall fractures via Iselin's
modified approach between 2016 and 2018. All patients had detailed
radiological, clinical evaluation and fractures were classified by AO/ASIF classification.
All patients had radiological and clinical evaluation at the end of the
postoperative 1st year.




Results: There were 16 men and 4 women with
an average age of 42.8±18.0 (range 18-77) years. The average follow-up was
14.8±6.1 (range 6-28) months. The right hip was involved in 12 (60%) patients
and the left in 8 (40%) patients. The average operative time was 78.6±16.7
(range, 54–115) minutes. Average blood loss during the operation was
179.22±51.9 (range, 100–260) ml. The postoperative reduction was graded as
anatomic (0–1 mm of displacement) for 17 hips and imperfect (2–3 mm of
displacement) for 3 patients. No patient had a deep infection, implant
loosening, recurrent dislocation, deep venous thrombosis (DVT), pulmonary
embolism (PE) or revision fixation.




Conclusion: The modified approach of Iselin is
a successful approach with its ease in the surgery of displaced fractures that
extending proximally and early radiological and functional results.




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Makale detayları

Surgically Treated Posterior Acetabular Fractures Via Iselin’s Modified Approach with A Short-Term Follow-Up

Yazarlar: Erdem DEĞİRMENCİ | Zafer ORHAN | Mehmet ARICAN | Zekeriya KARADUMAN | Yalçın TURHAN | Ozan TURHAL

Yayıncı: Ordu University

Ana Başlıklar: Sağlık teşvikleri

Dergi: Middle Black Sea Journal of Health Science 2019 Vol.5 Issue 2, pp.93-99

Belge Tipi: Makale

Yayın Tarihi: 8/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000564308

Sıklık: Üç Yıllık

eISSN: 2149-7796

DOI: https://doi.org/10.19127/mbsjohs.561885

Sayı

Yazarlar:

Erdem DEĞİRMENCİ | Zafer ORHAN | Mehmet ARICAN | Zekeriya KARADUMAN | Yalçın TURHAN | Ozan TURHAL

Yayıncı:

Ordu University

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Middle Black Sea Journal of Health Science 2019 Vol.5 Issue 2, pp.93-99

Belge Tipi:

Makale

Yayın Tarihi:

8/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000564308

Sıklık:

Üç Yıllık

eISSN:

2149-7796

DOI:

https://doi.org/10.19127/mbsjohs.561885