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KMID : 0386420070200010026
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Journal of the Korean Fracture Society
2007 Volume.20 No. 1 p.26 ~ p.32
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Treatment of Acetabular Column Fractures with Limited Open Reduction and Screw Fixation
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Kim Jung-Jae
Oh Hyoung-Keun
Kim Seong-Yoon
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Abstract
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Purpose: To evaluate the results of limited open reduction and screw fixation of acetabular fractures.
Materials and methods: Six acetabular fractures were treated with fluoroscopic guided screw fixation. The mean age was 46 years old and mean follow-up period was 18 months. There were 3 anterior column fractures, 2 transverse fractures and 1 both column fracture. Anterior column screw fixation was used in 5 cases and posterior column fixation in 1 case. Limited ilioinguinal approach was used in 4 cases and percutaneous screw fixation in 2 cases.
Results: The mean union time was 16.6 weeks. The postoperative radiographic results revealed 2 cases with an anatomic reduction and 4 cases with an imperfect reduction. The clinical results showed 1 case with excellent, 4 cases with good and 1 case with fair. Regarding complication, there was 1 case of SI joint penestration without clinical symptoms.
Conclusion: Limited open reduction and screw fixation can be a useful alternative treatment for acetabular fractures in patients with minimally displaced fracture, severe multisystem trauma and soft tissue injury not suitable to traditional treatment.
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KEYWORD
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Acetabular column fracture, Limited open reduction, Screw fixation
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