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Abstract
Materials and Methods
From January 2000 to December 2005, 19 cases of displaced acetabular fracture were treated with wire fixation. According to Letournel's classification there were 9 both column fracture, 5 transverse fracture, 3 anterior column with posterior hemitransverse and 2 T-type fracture. Only wire fixation in 13 cases and wire with plate or wire with screw fixation in 6 cases.
Results
We evaluate the accuracy of reduction by Matta' criteria, anatomical reduction in 12 cases, incomplete reduction in 4 cases, poor reduction in 2 cases and surgical secondary congruence in 1 case. The clinical results showed excellent in 12 cases, good in 4 cases, fair in 2 cases and poor in 1 case. The radiological results showed excellent in 10 cases, good in 4 cases, fair in 3 cases and poor in 2 cases. There were 4 cases of complication; wound infection in 1case, post-traumatic arthritis in 1 case and heterotopic ossification in 2 cases.
Figures and Tables
Fig. 1
(A) Initial radiograph of a 37 years old male shows transverse and posterior wall fractue.
(B) 3-Dimensional CT scan shows displaced fracture at the weight bearing dome.
(C) Immediate postoperative radiograph shows anatomical reduction with dual loop cerclage wiring and plate fixation.
(D) Radiograph after 19 months after operation shows well union of the fracture site and good joint congruency.
Fig. 2
(A) Initial radiograph of a 66 years old male shows both column fracture with spur sign.
(B) 3-Dimensional CT scan shows comminuted fracture at the medial wall and anterior column.
(C) Immediate postoperative radiograph shows anatomical reduction with dual loop cerclage wiring.
(D) Radiograph after 21 months after operation shows well union of the fracture site and good joint congruency.
Table 1
Patient data
A: Case number; B: Fracture type, BC: Both columns, ACPH: Anterior column & posterior hemitransverse, TPW: Transverse & posterior wall fracture, TS: T-shaped; C: Age; D: Sex, M: Male, F: Female; E: Operative approach, IL: Ilioinguinal, KL: Kocher-Langenbeck, KL+LIL: Kocher-Langenbeck+Limited Ilioinguinal, TR: Triradiate transtrochanteric; F: Fixation method, SW: Single loop cerclage wire, DW: Dual loop cerclage wire, CW+P: Cerclage wire+plate, CS: Cerclage wire+screw; G: Radiologic result; H: Clinical result, E: Excellent, G: Good, F: Fair, P: Poor; I: Complication, N: None, OA: Osteoarthritis, HO: Heterotopic ossifiaction, I: Infection.
References
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