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KMID : 0377619950600050421
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Korean Jungang Medical Journal
1995 Volume.60 No. 5 p.421 ~ p.424
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A Study Activity of Clinical Analysis of Acetabular Fracture
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Abstract
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If the treatment of acetabular fractures are not satisfactory, there will be serious complication such as traumatic arthritis or avascular necrosis of the femoral head. There is much continuing discussion as to where conservative or surgical treatment should be used.
The authors experienced 33 cases of acetabular fractures, that were treated at the Department of Orthopaedic surgery, Maryknoll Hospital from January 1989 to September 1993.
The results of 32 cases who were followed over a 1 year period are as follow ;
1. According to Letournel´s classification, the most common type of elementary fracture was posterior wall (22.3 %) and a T-shaped fracture was 11.4 % and both column fractures were 10.9 %.
2. Complication were traumatic arthritis(15 cases), superficial infection(6 cases), ectopic ossification(6 cases), osteomyelitis(2 case), AVN of the femoral head(2 cases), and iartrogenic femoral shaft fracture(1 case).
3. According to matta´s assessment, satisfactory results of conservative treatment were 36 % clinically and 36 % radiologically, and by surgical treatment, 70 % clinically and 69 % radiologically.
4. Surgical treatment in acetabular fractures, such as an anatomical reduction and rigid Nation fixation followed by early joint motion were improved the result and decreased the rate of traumatic arthritis.
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