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
Hauptverfasser: Deo, S.D, Tavares, S.P, Pandey, R.K, El-Saied, G, Willett, K.M, Worlock, P.H
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container_end_page 586
container_issue 7
container_start_page 581
container_title Injury
container_volume 32
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.
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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 &amp; numerical data</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
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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