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ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED

Objective: Correlate the postoperative radiographic evaluation with variables accompanying acetabular fractures in order to determine the predictive factors for segmental impaction of femoral head. Methods: Retrospective analysis of medial files of patients submitted to open reduction surgery with i...

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Autores principales: Guimarães, Rodrigo Pereira, Kaleka, Camila Cohen, Cohen, Carina, Daniachi, Daniel, Keiske Ono, Nelson, Honda, Emerson Kiyoshi, Polesello, Giancarlo Cavalli, Riccioli, Walter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4783690/
https://www.ncbi.nlm.nih.gov/pubmed/27004191
http://dx.doi.org/10.1016/S2255-4971(15)30274-3
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author Guimarães, Rodrigo Pereira
Kaleka, Camila Cohen
Cohen, Carina
Daniachi, Daniel
Keiske Ono, Nelson
Honda, Emerson Kiyoshi
Polesello, Giancarlo Cavalli
Riccioli, Walter
author_facet Guimarães, Rodrigo Pereira
Kaleka, Camila Cohen
Cohen, Carina
Daniachi, Daniel
Keiske Ono, Nelson
Honda, Emerson Kiyoshi
Polesello, Giancarlo Cavalli
Riccioli, Walter
author_sort Guimarães, Rodrigo Pereira
collection PubMed
description Objective: Correlate the postoperative radiographic evaluation with variables accompanying acetabular fractures in order to determine the predictive factors for segmental impaction of femoral head. Methods: Retrospective analysis of medial files of patients submitted to open reduction surgery with internal acetabular fixation. Within approximately 35 years, 596 patients were treated for acetabular fractures; 267 were followed up for at least two years. The others were excluded either because their follow up was shorter than the minimum time, or as a result of the lack of sufficient data reported on files, or because they had been submitted to non-surgical treatment. The patients were followed up by one of three surgeons of the group using the Merle d'Aubigné and Postel clinical scales as well as radiological studies. Results: Only tow studied variables-age and amount of postoperative reductionshowed statistically significant correlation with femoral head impaction. Conclusions: The quality of reduction-anatomical or with up to 2mm residual deviation-presents a good radiographic evolution, reducing the potential for segmental impaction of the femoral head, a statistically significant finding.
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spelling pubmed-47836902016-03-21 ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED Guimarães, Rodrigo Pereira Kaleka, Camila Cohen Cohen, Carina Daniachi, Daniel Keiske Ono, Nelson Honda, Emerson Kiyoshi Polesello, Giancarlo Cavalli Riccioli, Walter Rev Bras Ortop Original Article Objective: Correlate the postoperative radiographic evaluation with variables accompanying acetabular fractures in order to determine the predictive factors for segmental impaction of femoral head. Methods: Retrospective analysis of medial files of patients submitted to open reduction surgery with internal acetabular fixation. Within approximately 35 years, 596 patients were treated for acetabular fractures; 267 were followed up for at least two years. The others were excluded either because their follow up was shorter than the minimum time, or as a result of the lack of sufficient data reported on files, or because they had been submitted to non-surgical treatment. The patients were followed up by one of three surgeons of the group using the Merle d'Aubigné and Postel clinical scales as well as radiological studies. Results: Only tow studied variables-age and amount of postoperative reductionshowed statistically significant correlation with femoral head impaction. Conclusions: The quality of reduction-anatomical or with up to 2mm residual deviation-presents a good radiographic evolution, reducing the potential for segmental impaction of the femoral head, a statistically significant finding. Elsevier 2015-12-08 /pmc/articles/PMC4783690/ /pubmed/27004191 http://dx.doi.org/10.1016/S2255-4971(15)30274-3 Text en © 2009 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Guimarães, Rodrigo Pereira
Kaleka, Camila Cohen
Cohen, Carina
Daniachi, Daniel
Keiske Ono, Nelson
Honda, Emerson Kiyoshi
Polesello, Giancarlo Cavalli
Riccioli, Walter
ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED
title ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED
title_full ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED
title_fullStr ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED
title_full_unstemmed ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED
title_short ANALYSIS OF THE SEGMENTAL IMPACTION OF FEMORAL HEAD FOLLOWING AN ACETABULAR FRACTURE SURGICALLY MANAGED
title_sort analysis of the segmental impaction of femoral head following an acetabular fracture surgically managed
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4783690/
https://www.ncbi.nlm.nih.gov/pubmed/27004191
http://dx.doi.org/10.1016/S2255-4971(15)30274-3
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