Artikel
Post Wall Fixation by Lag Screw Only in Associated Both Column Fractures with Posterior Wall Involvement
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Veröffentlicht: | 22. Oktober 2019 |
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Gliederung
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Objectives: To evaluate the quality of reduction, clinical outcomes and complications of associated both column acetabular fractures with posterior wall involvement that are treated through single ilioinguinal approach and fixation of posterior wall by lag screws only.
Methods: We conducted a retrospective review involving ninety-nine consecutive patients with associated both column fractures of acetabulum treated through single ilioinguinal approach. Patients were divided into two groups. The first group consisted of 35 patients presented with both column fractures with posterior wall involvement that fixation performed with lag screws. This group was compared to a second group of 64 patients with both column fractures without posterior wall involvement. The quality of reduction was assessed using criteria described by Matta. The size of posterior wall fragment was measured. Functional outcome was evaluated using Modified Postel Merle D'Aubigne score.
Results and conclusion: The study showed no significant differences in all preoperative variables. While intraoperative blood loss and operative time in group 1 were increased compared to group 2, the difference was not statistically significant. There was no difference regarding the quality of reduction between the two groups. The excellent to good clinical outcome was around 71.4% in the group 1 versus 73.4% in the group 2 at the final follow-up, this difference was not statistically significant. There was no difference in rate of complications between the two groups.
Lag screws fixation of posterior wall through single ilioinguinal approach in associated both column fractures of acetabulum is a safe and effective method.