OUTCOMES OF EXTERNAL ROTATORS-SPARING APPROACH IN THE TREATMENT OF POSTERIOR WALL ACETABULAR FRACTURES: A RETROSPECTIVE STUDY | ||||
| Egyptian Journal of Orthopedic Research | ||||
| Article 3, Volume 3, Issue 2, December 2022, Page 55-61 PDF (948.4 K) | ||||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||||
| DOI: 10.21608/ejor.2022.280984 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Mahmoud ElSherif
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| Orthopedic Surgery dept., Faculty of Medicine, Suez Canal Univ., Ismailia, Egypt | ||||
| Abstract | ||||
| Purpose: Posterior wall acetabular fractures are typically treated via a kocher-langenbeck approach. This approach can be associated with complications such as avascular necrosis of the femoral head, heterotopic ossification, sciatic neurapraxia and compromise of the hip muscle. In this study we assessed clinical and radiological outcomes of muscle-sparing posterior approach for the treatment of posterior wall acetabular fractures. Methods: This retrospective case series study included 37 cases of surgicallytreated posterior wall acetabular fractures using muscle-sparing posterior approach. It depended on superior and inferior intermuscular windows for plate osteosynthesis. Cases were operated in the period between March 2013 and January 2019 in orthopedic surgery department in the University Hospitals. Clinical and radiographic assessment were assessed with minimum 3-years follow up utilizing the Merle d’ Aubigne and Matta scoring systems respectively. Results: The mean patients’ age was 38.8 ± 11.1 years. Average operative time was 60.3 min. Average intra-operative blood loss was (123.9±10.5 ml). There were no cases of avascular necrosis of the femoral head. Anatomical reduction was achieved in 31 hips (83.8%). At one-year follow-up, final Merle d’ Aubigne scores were excellent in 27 hips (73%), good in seven hips (18.9%). Cases with anatomical reduction revealed clinically excellent results in 27 cases (87.1%), good in three cases (9.1%). Conclusion: External rotators-sparing approach may be considered as alternative to conventional Kocher-Langenbeck approach in posterior wall acetabular fractures treatment, with good results and few complications | ||||
| Keywords | ||||
| External rotators Posterior approach; Acetabulum; Posterior wall fracture; Muscle sparing | ||||
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