ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 25 Issue : 1 Year : 2017
 
Ilioinguinal Appraoach for Treatment of Acetabular Fractures [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. Ahead of Print: IAS-57704 | DOI: 10.5505/ias.2017.57704  

Ilioinguinal Appraoach for Treatment of Acetabular Fractures

Enes Uluyardımcı1, Durmuş Ali Öçgüder1, Mahmut Uğurlu2, İbrahim Bozkurt1, Temel Oğuz1, Okan Ateş1
1Department Of Orthopedics And Traumatology, Ankara Ataturk Education And Research Hospital, Ankara, Turkey
2Department Of Orthopedics And Traumatology, Yıldırım Beyazıt University Ankara Ataturk Education And Research Hospital, Ankara, Turkey

Objective: The aim of this study was to share our ilioinguinal approach surgical results we practiced on 27 patients who have specific acetabular fractures types and to question the appropriateness of the fracture type of approach.
Methods: The mean age of 34.6 (19-46) were ten (37%) were females and 17 (63%) were males with acetabular fractures resulting in surgical treatment using the ilioinguinal approach, analyzed retrospectively 27 patients. Fractures were identified by the Judet-Letournel classification. Early postoperative radiographic assessment was done using Matta`s scoring system. The last follow-up clinical evaluation was performed according to the Harris hip score. In the final radiographic evaluation Matta classification was used.
Results: Seven patients had anterior column (25.9%), six patients T (22.2%), transverse in five patients (18.5%), both columns in five patients (18.5%) and in four patients anterior column and posterior hemitransvers (14.8%) type fracture was present. According to Matta postoperative radiographic classification; In nine patients, anatomical, in fourteen patients adequate and in fourteen patients inadequate reduction. The average Harris hip scoring 86 (60-100). According to Matta`s radiological classification used in follow-ups; the results were very good in fourteen patients, good in ten patients, fair in one patient and bad in two patients.
Conclusion: Patients with less incision had rapid rehabilitation, expanded approach compared to the heterotopic ossification, serious complications such as infection and nerve injuries are seen less frequently. anatomical structures encountered during approach which maybe not customary for orthopedics, surgeons can avoid large vessels and nerves by gaining experience and careful intraoperative retraction.

Keywords: acetabular fracture, ilioinguinal approach, judet and letournel




Corresponding Author: Enes Uluyardımcı, Türkiye


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