Cerclage Wiring in Internal Fixation of Displaced Acetabular Fractures.
10.12671/jkfs.2008.21.2.95
- Author:
Chong Kwan KIM
1
;
Jin Woo JIN
;
Jong Ho YOON
;
Sung Won JUNG
;
Jung Wook PEANG
Author Information
1. Department of Orthopedic Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea. ortho_ss@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Displaced acetabular fracture;
Cerclage wiring
- MeSH:
Arthritis;
Ossification, Heterotopic;
Wound Infection
- From:Journal of the Korean Fracture Society
2008;21(2):95-102
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
