Complications of operative treatment of acetabular fractures.
- Author:
Shi-wen ZHU
1
;
Man-yi WANG
;
Xin-bao WU
;
Qi-yong CAO
;
Hong-hua WU
;
Guo-wei RONG
Author Information
- Publication Type:Journal Article
- MeSH: Acetabulum; injuries; Adolescent; Adult; Aged; Female; Femur Head Necrosis; etiology; prevention & control; Follow-Up Studies; Fractures, Bone; surgery; Humans; Intraoperative Complications; etiology; prevention & control; Male; Middle Aged; Ossification, Heterotopic; etiology; prevention & control; Osteoarthritis, Hip; etiology; prevention & control; Postoperative Complications; etiology; prevention & control; Retrospective Studies; Sciatic Nerve; injuries; Treatment Outcome; Young Adult
- From: Chinese Journal of Surgery 2003;41(5):342-345
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo improve the effect of operative management of acetabular fractures.
METHODSOne hundred and seventy eight acetabular fractures were treated operatively from August 1993 to December 2000. Their functional results and complications were analyzed.
RESULTSOne hundred and twelve hips were followed up for an average of 45.7 months. Heterotopic ossification was noted in 26 hips, post-operative osteoarthritis in 22 hips, avascular necrosis of the femoral head in 8 hips, and sciatic nerve injury in 7 hips after operations. No death and infection were found in this series.
CONCLUSIONSEctopic bone formation develops at extended ilio-femoral and Kocher-Langeneck approaches. Cartilaginous injury of the femoral head is contributable to post-operative osteoarthritis, and imperfect reduction is an important factor in the genesis of osteoarthritis.
