Cem Dinçay BÜYÜKKURT, Haluk ÇABUK, ALİ YÜCE, Ali Çağrı TEKİN, Murat ÇAKAR, HAKAN GÜRBÜZ

Mid-term functional results of surgically treated acetabulum fractures

The aim of the study was to evaluate the type of trauma, additional injury, age, additional diseases, need for ICU and blood transfusion, postoperative complications, mid-term patient satisfaction and hip functions of the patients who underwent surgical treatment for acetabulum fracture in our clinic. A total of 17 patients (15 males, 2 females, mean age 40,7 years ) who admitted to the emergency department between 2013 and 2016, and treated surgically due to acetabulum fractures were included in the study. According to Judet Letournel classification, 7 anterior wall fractures, 4 anterior column fractures, 3 posterior column fractures and 3 both column fractures were determined. Mean hospital stay was 14.5 days (range 3-45 days) and mean follow-up was 26 months (14 to 57 months). ICU needed in 3 (17.6%) cases, mean stay was 10.3 days (range 1-29 days). 6 (35.2%) patients required blood transfusion, mean amount was 4.1 units (range 2-6 units). Harris hip scores were excellent - good in 12 cases (70.5%) and 5 cases (29.5%) had moderate - poor results at 12th month. There was no statistically significant relationship between severity of trauma, type of injury, age, additional diseases, intensive care and blood transfusion requirements, postoperative complications and patient satisfaction (p> 0.05). In selected acetabular fracture cases with proper planning according to fracture type, in early period, surgery may lead to satisfactory results in terms of patient satisfaction and hip functions.

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Tornetta P 3, Templeman D: Pelvisandacetabulum: trauma. 1n Orthopaedic Knowledge Update, Home StudySyllabus 7, Koval KJ edition, Am Acad Orthop Surgeons, İllinois, 2002;395-405.

Acaroğlu E, Avci S, Surat A. Asetabulum kırıklarının tedavi sonuçlarının incelenmesi. XI Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı, Ankara, Emel Matbaacılık, 1990:395-6.

Letournel E. Acetabulum fractures-classification and management. Clin orthop Relat Res. 1980;151:81-106.

Pennal GF, Davidson J, Garside H, et al. Results of treatment of acetabular Fractures. Clin Orthop 1980;151:115-23.

Kınık H, Asetabulum Kırıkları, TOTBİD Dergisi. 2002;2:46-59.

Aktuğlu K, Özkayın N, Asetabulum kırıklarında komplikasyonların önlenmesi ve tedavisi TOTBİD Dergisi. 2012;11:195-200.

Harris AM, Althausen P, Kellam JF, et al. Simultaneous anterior and posterior approaches for complex acetabular fractures. J OrthopTrauma. 2008;22:4947.

Matta JM, Letournel E, Browner BD. Surgical management of aceta bular fractures. Instr Course Lect. 1986;35:382-97.

Letoumel E. Fraclures of theace tabulum. Edition. RA. Elson, Springer- Verlag, Berlin, Heidelberg, NewYork, 1981.

Mayo KA. Fractures of the acetabulum. Orthop Clin North Am 1987; 18:4357.

Yanat AN, Gür S, Asetabulum kırıklarının tedavisi, XIII Milli Türk Ortopedi ve Travmotoloji Kongre Kitabı , Ankara, THK, Basımevi, 1994:644-9.

Okur A, Karsan O, Alpaslan B, et al. Asetabulum kırıklarında tedavi sonuçlarımız, AÜTD; 1996;28:169-73.

Erdoğan F, Poursani RS, Öğüt T, et al. Asetabulum kırıklarında konservatif ve cerrahi sonuçlarımız, Acta Orthop Traumatol Turc. 1998;32:111-5.

Turanlı S, Ozer H, Yılmaz İ, ark. Asetabulum kırıklarında cerrahi tedavi ve erken dönem sonuçlarımız, Turkish Arhroplasty Arthroscopic Surgery. 2000;11:11-7.

Letournel E, Judet R, The Kocher-Langenbeck Approach, fractures of the asetabulum. Reginald AE. New York, Springer-Verlag. 1993;364-73.

Klinger DL: Acetabular fractures. AORN J. 1995;61:57-78.

Fenzi G, Fischer G, Gaıı P. Acetabulumfrakturen-operative versus konservative Behandlung. Unfallchrurgie. 1990;16:230-5.

Heeg M, Klasen HJ, Visser JD. Operative treatment fora acetabular fractures. J Bone Joint Surg Br. 1990;72:383-6.

Rowe CR, Lowell JD. Prognosis of fractures of the acetabulum. J Bone Joint Surg. 1961;43:30-92.

Matta JM, Merrit PO. Displaced acetabular fractures. Clin Orthop. 1988;8397.

Pantazopoulos T, Mousafiris C. Surgical treatment of central acetabular fractures. Clin Orthop 1989;57-64.

Giannoudis PV, Grotz MR, Papacostidis C, et al. Operative treatment of diplaced fractures of the acetabulum. A meta analysis. J Bone Joint Surg (Br). 2005;87:2-9.

Gupta RK, Singh H, Dev B, et al. Results of operative treatment of acetabular fractures from the third world - how local factors affect the outcome. International Ortho paedies (SICOT). 2009;33:347-52.

Triantaphillopoulos PG, Panagiotopoulos EC, Mousafiris C, Long-term results in surgically treated asetabular fractures through the posterior approaches. J Trauma. 2007;62:378-82.

Tannast M, Najibi S, Matta JM. Two to twenty- year survivorship of the hip in 810 patients with operatively treated acetabular fractures. J Bone Joint Surg Am. 2012;94:1559-67.