Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture

BACKGROUND: The aim of this study was to explore the efficacy of temporary balloon occlusion of the abdominal aorta assisting open reduction and internal fixation (ORIF) in the treatment of complex acetabular fracture. MATERIAL/METHODS: From August 2000 to October 2011, a total of 48 patients with c...

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Autores principales: Hao, Zhenhai, Zhou, Dongsheng, Wang, Fu, Li, Lianxin, He, Jiliang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4933555/
https://www.ncbi.nlm.nih.gov/pubmed/27367975
http://dx.doi.org/10.12659/MSM.896760
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author Hao, Zhenhai
Zhou, Dongsheng
Wang, Fu
Li, Lianxin
He, Jiliang
author_facet Hao, Zhenhai
Zhou, Dongsheng
Wang, Fu
Li, Lianxin
He, Jiliang
author_sort Hao, Zhenhai
collection PubMed
description BACKGROUND: The aim of this study was to explore the efficacy of temporary balloon occlusion of the abdominal aorta assisting open reduction and internal fixation (ORIF) in the treatment of complex acetabular fracture. MATERIAL/METHODS: From August 2000 to October 2011, a total of 48 patients with complex acetabular fracture were enrolled in this study. Average operative time, intraoperative blood loss volume, blood transfusion volume, satisfactory reduction, and postoperative functional recovery rate were recorded and compared between the 2 groups. RESULTS: A significant difference was observed between the 2 groups in operative time (P=0.003). For intraoperative blood loss and blood transfusion, ORIF combined with temporary balloon occlusion of abdominal aorta techniques appeared to be superior to normal ORIF (blood loss: P=0.007; and blood transfusion: P=0.019, respectively). However, no differences were observed in postoperative blood loss or transfusion (P>0.05). Patients in group A showed better hip function than those in group B (group A: a good-to-excellent rate of 77.8%; group B: a good-to-excellent rate of 78.3%; P>0.05). With regard to the incidence of postoperative complications, there were no significant differences between the 2 groups (group A: 9/18; group B: 11/23; P=0.890). CONCLUSIONS: In the treatment of complex acetabular fracture, temporary balloon occlusion of the abdominal aorta is a reliable technique to assist ORIF surgery to staunch the flow of blood.
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spelling pubmed-49335552016-07-18 Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture Hao, Zhenhai Zhou, Dongsheng Wang, Fu Li, Lianxin He, Jiliang Med Sci Monit Clinical Research BACKGROUND: The aim of this study was to explore the efficacy of temporary balloon occlusion of the abdominal aorta assisting open reduction and internal fixation (ORIF) in the treatment of complex acetabular fracture. MATERIAL/METHODS: From August 2000 to October 2011, a total of 48 patients with complex acetabular fracture were enrolled in this study. Average operative time, intraoperative blood loss volume, blood transfusion volume, satisfactory reduction, and postoperative functional recovery rate were recorded and compared between the 2 groups. RESULTS: A significant difference was observed between the 2 groups in operative time (P=0.003). For intraoperative blood loss and blood transfusion, ORIF combined with temporary balloon occlusion of abdominal aorta techniques appeared to be superior to normal ORIF (blood loss: P=0.007; and blood transfusion: P=0.019, respectively). However, no differences were observed in postoperative blood loss or transfusion (P>0.05). Patients in group A showed better hip function than those in group B (group A: a good-to-excellent rate of 77.8%; group B: a good-to-excellent rate of 78.3%; P>0.05). With regard to the incidence of postoperative complications, there were no significant differences between the 2 groups (group A: 9/18; group B: 11/23; P=0.890). CONCLUSIONS: In the treatment of complex acetabular fracture, temporary balloon occlusion of the abdominal aorta is a reliable technique to assist ORIF surgery to staunch the flow of blood. International Scientific Literature, Inc. 2016-07-01 /pmc/articles/PMC4933555/ /pubmed/27367975 http://dx.doi.org/10.12659/MSM.896760 Text en © Med Sci Monit, 2016 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
spellingShingle Clinical Research
Hao, Zhenhai
Zhou, Dongsheng
Wang, Fu
Li, Lianxin
He, Jiliang
Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture
title Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture
title_full Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture
title_fullStr Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture
title_full_unstemmed Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture
title_short Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture
title_sort temporary balloon occlusion of the abdominal aorta in treatment of complex acetabular fracture
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4933555/
https://www.ncbi.nlm.nih.gov/pubmed/27367975
http://dx.doi.org/10.12659/MSM.896760
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