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KMID : 0386420080210020095
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Journal of the Korean Fracture Society
2008 Volume.21 No. 2 p.95 ~ p.102
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Cerclage Wiring in Internal Fixation of Displaced Acetabular Fractures
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Kim Chong-Kwan
Jin Jin-Woo
Yoon Jong-Ho
Jung Sung-Weon
Paeng Jung-Wook
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Abstract
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Purpose: To evaluate the usefulness of wire fixation in displaced acetabular fractures.
Materials and Methods: From January 2000 to December 2005, 19 cases of displaced acetabular fracture were treated with wire fixation. According to Letournel’s classification there were 9 both column fracture, 5 transverse fracture, 3 anterior column with posterior hemitransverse and 2 T-type fracture. Only wire fixation in 13 cases and wire with plate or wire with screw fixation in 6 cases.
Results: We evaluate the accuracy of reduction by Matta’ criteria, anatomical reduction in 12 cases, incomplete reduction in 4 cases, poor reduction in 2 cases and surgical secondary congruence in 1 case. The clinical results showed excellent in 12 cases, good in 4 cases, fair in 2 cases and poor in 1 case. The radiological results showed excellent in 10 cases, good in 4 cases, fair in 3 cases and poor in 2 cases. There were 4 cases of complication; wound infection in 1case, post-traumatic arthritis in 1 case and heterotopic ossification in 2 cases.
Conclusion: The cerclage wiring is a preferable method in internal fixation of displaced acetabular fractures that can facilitate reduction and achieve stable fixation.
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KEYWORD
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Displaced acetabular fracture, Cerclage wiring
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