A Systematic Review on Percutaneous Fixation of Anterior Column Fractures of the Acetabulum | ||||
| Benha Journal of Applied Sciences | ||||
| Article 18, Volume 5, Issue 6 part (2), September 2020, Page 269-275 PDF (424.88 K) | ||||
| Document Type: Original Research Papers | ||||
| DOI: 10.21608/bjas.2020.137176 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| M.A. Ashour; M.A. Mselhy; S.A. Shoulah; M.S. Abdelhamed | ||||
| Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
| Abstract | ||||
| The current standard treatment of anterior column acetabular fractures includes formal open reduction with internal fixation (ORIF) through a variety of anterior approaches. Nonetheless, extensile introduction can prompt entanglements. Percutaneous negligibly obtrusive careful adjustment for a front section break of hip bone socket has become an acknowledged treatment strategy for as far back as quite a long while. The reason for this investigation is to give combined information about signs and results of percutaneous obsession of cracks of foremost segment of hip bone socket. This orderly survey comprised of 4 stages, including a methodical inquiry of the writing by utilizing PubMed and The Cochrane Library (Step1), determination of clinical investigations in the English language bound to cracks of hip bone socket which went through percutaneous obsession of foremost section (Step 2), study qualities were deliberately removed from the chosen papers (Step 3), and extraction of information on clinical results (Step 4). The inquiry yielded 14 papers qualified for our investigation. 68% were guys and 32% were females. The mean age of the patients was 52 yr. The primary system of injury is RTA 59%. The mean employable time was 43.4 min and the mean blood misfortune was 54.3 ml. Just 25 patients (5.8 %) had careful inconveniences. The majority of articles empower Partial weight-holding on for ROM practices in the first post-usable day. The mean HHS was 87.7 (acceptable). Post-usable radiological result was anatomical in 72% though radiological result in last visit was Excellent in 63% and Good in 20%. PCS obsession of breaks of the foremost segment of the hip bone socket with either traditional or mechanized route framework fluoroscopy could be applied not exclusively to non-uprooted cracks yet in addition to dislodged breaks amiable to shut or restricted open decrease. The mechanized route framework is better as it gives a multi-planar perspectives which give a 3D creative mind of the life structures of the pelvis, diminishing the quantity of pictures taken and this will diminish fluoroscopic time introduction and blood misfortune. Contrasted with ORIF, PCS obsession accomplishes a comparative nature of decrease and utilitarian result yet is related with less complexities, littler intraoperative blood misfortune, shorter usable time and permit early weight-bearing and recovery. | ||||
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