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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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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. |
format | Online Article Text |
id | pubmed-4783690 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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