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Khirurgii

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Year 2010 Vol. 18 No 3

TRAUMATOLOGY AND ORTHOPEDICS

BELETSKY A.V., MURZICH A.E., VORONOVICH A.I.

SURGICAL TREATMENT OF FRACTURES OF THE POSTERIOR WALL AND POSTERIOR COLUMN OF THE ACETABULUM

Objectives. To evaluate the effectiveness of the surgical treatment application in case of the displaced fractures of the acetabulum posterior column and posterior wall.
Methods. The experience of surgical treatment of 31 patients with fractures of the acetabulum posterior wall and column has been analyzed. The fractures with more than 2–3 mm displacement, the interposition of the fragments in the joint, not set fracture-dislocations in terms up to 3–4 weeks from the moment of trauma were the indications for the operation. Kocher-Langenbeck posterior access was applied in all cases. The fixation of fractures was done by means of the reconstructive plates.
Results. Clinical results of treatment have been evaluated in terms up to 7 years after the operation. Excellent results have been obtained in 48 %, good and satisfactory in 29%, unsatisfactory in 23% of patients. X-ray outcome has corresponded to the clinical result characteristics.
Conclusion. Precise anatomical reposition and stable fixation by means of plates permit to achieve optimal treatment results of the given injuries and to start rehabilitation actions in early terms.

Keywords: acetabulum fracture, operative treatment, reconstructive plate, X-ray evaluation
p. 75 – 83 of the original issue
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