Operative management of acetabular fractures in Oxford
We reviewed the epidemiology and complications of 79 patients who had operative treatment for an acetabular fracture undertaken at this hospital, in the first 5 years of a pelvic and acetabular fracture service. The median Injury Severity Score was 18 (range, 9–41). Sixty-five patients (82%) had an...
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Veröffentlicht in: | Injury 2001-09, Vol.32 (7), p.581-586 |
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creator | Deo, S.D Tavares, S.P Pandey, R.K El-Saied, G Willett, K.M Worlock, P.H |
description | We reviewed the epidemiology and complications of 79 patients who had operative treatment for an acetabular fracture undertaken at this hospital, in the first 5 years of a pelvic and acetabular fracture service. The median Injury Severity Score was 18 (range, 9–41). Sixty-five patients (82%) had an important injury of at least one other system. Eighteen patients (23%) had a sciatic nerve injury on presentation. Thirty-seven patients (47%) had a post-operative complication, but this did not affect the outcome in the majority. The re-operation rate was 5%.
Seventy-four patients (94%) had clinical and radiological follow-up for a mean of 2.6 years. Fifty-five patients (74%) had a good or excellent result, which was associated with early operation and an anatomical reduction. Poor outcome was associated with delay to surgery, failure to achieve or maintain reduction, and femoral head damage at the time of injury. |
doi_str_mv | 10.1016/S0020-1383(00)00200-X |
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Seventy-four patients (94%) had clinical and radiological follow-up for a mean of 2.6 years. Fifty-five patients (74%) had a good or excellent result, which was associated with early operation and an anatomical reduction. Poor outcome was associated with delay to surgery, failure to achieve or maintain reduction, and femoral head damage at the time of injury.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/S0020-1383(00)00200-X</identifier><identifier>PMID: 11524093</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Acetabulum - injuries ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Critical Care - statistics & numerical data ; Female ; Fractures, Bone - complications ; Fractures, Bone - surgery ; Glasgow Coma Scale ; Humans ; Injuries of the limb. Injuries of the spine ; Injury Severity Score ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Postoperative Complications - etiology ; Reoperation - statistics & numerical data ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>Injury, 2001-09, Vol.32 (7), p.581-586</ispartof><rights>2001 Elsevier Science Ltd</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-1eeffc453c6d5bae009b52f38465575391ab5db214b862343f0f7e3266aac0a43</citedby><cites>FETCH-LOGICAL-c390t-1eeffc453c6d5bae009b52f38465575391ab5db214b862343f0f7e3266aac0a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0020-1383(00)00200-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3541,23921,23922,25131,27915,27916,45986</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1126497$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11524093$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deo, S.D</creatorcontrib><creatorcontrib>Tavares, S.P</creatorcontrib><creatorcontrib>Pandey, R.K</creatorcontrib><creatorcontrib>El-Saied, G</creatorcontrib><creatorcontrib>Willett, K.M</creatorcontrib><creatorcontrib>Worlock, P.H</creatorcontrib><title>Operative management of acetabular fractures in Oxford</title><title>Injury</title><addtitle>Injury</addtitle><description>We reviewed the epidemiology and complications of 79 patients who had operative treatment for an acetabular fracture undertaken at this hospital, in the first 5 years of a pelvic and acetabular fracture service. The median Injury Severity Score was 18 (range, 9–41). Sixty-five patients (82%) had an important injury of at least one other system. Eighteen patients (23%) had a sciatic nerve injury on presentation. Thirty-seven patients (47%) had a post-operative complication, but this did not affect the outcome in the majority. The re-operation rate was 5%.
Seventy-four patients (94%) had clinical and radiological follow-up for a mean of 2.6 years. Fifty-five patients (74%) had a good or excellent result, which was associated with early operation and an anatomical reduction. Poor outcome was associated with delay to surgery, failure to achieve or maintain reduction, and femoral head damage at the time of injury.</description><subject>Acetabulum - injuries</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Critical Care - statistics & numerical data</subject><subject>Female</subject><subject>Fractures, Bone - complications</subject><subject>Fractures, Bone - surgery</subject><subject>Glasgow Coma Scale</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Injury Severity Score</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Reoperation - statistics & numerical data</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Injury Severity Score</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Reoperation - statistics & numerical data</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deo, S.D</creatorcontrib><creatorcontrib>Tavares, S.P</creatorcontrib><creatorcontrib>Pandey, R.K</creatorcontrib><creatorcontrib>El-Saied, G</creatorcontrib><creatorcontrib>Willett, K.M</creatorcontrib><creatorcontrib>Worlock, P.H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deo, S.D</au><au>Tavares, S.P</au><au>Pandey, R.K</au><au>El-Saied, G</au><au>Willett, K.M</au><au>Worlock, P.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operative management of acetabular fractures in Oxford</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2001-09-01</date><risdate>2001</risdate><volume>32</volume><issue>7</issue><spage>581</spage><epage>586</epage><pages>581-586</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>We reviewed the epidemiology and complications of 79 patients who had operative treatment for an acetabular fracture undertaken at this hospital, in the first 5 years of a pelvic and acetabular fracture service. The median Injury Severity Score was 18 (range, 9–41). Sixty-five patients (82%) had an important injury of at least one other system. Eighteen patients (23%) had a sciatic nerve injury on presentation. Thirty-seven patients (47%) had a post-operative complication, but this did not affect the outcome in the majority. The re-operation rate was 5%.
Seventy-four patients (94%) had clinical and radiological follow-up for a mean of 2.6 years. Fifty-five patients (74%) had a good or excellent result, which was associated with early operation and an anatomical reduction. Poor outcome was associated with delay to surgery, failure to achieve or maintain reduction, and femoral head damage at the time of injury.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>11524093</pmid><doi>10.1016/S0020-1383(00)00200-X</doi><tpages>6</tpages></addata></record> |
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subjects | Acetabulum - injuries Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Critical Care - statistics & numerical data Female Fractures, Bone - complications Fractures, Bone - surgery Glasgow Coma Scale Humans Injuries of the limb. Injuries of the spine Injury Severity Score Length of Stay Male Medical sciences Middle Aged Orthopedic surgery Postoperative Complications - etiology Reoperation - statistics & numerical data Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents Treatment Outcome |
title | Operative management of acetabular fractures in Oxford |
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