Marginal impaction in acetabular fractures.
- Author:
Xin-bao WU
1
;
Man-yi WANG
;
Shi-wen ZHU
;
Qi-yong CAO
;
Hong-hua WU
Author Information
- Publication Type:Journal Article
- MeSH: Acetabulum; injuries; Adult; Bone Plates; Bone Transplantation; Female; Follow-Up Studies; Fracture Fixation, Internal; Fractures, Bone; diagnostic imaging; surgery; Humans; Male; Middle Aged; Radiography; Retrospective Studies; Tomography Scanners, X-Ray Computed
- From: Chinese Journal of Surgery 2003;41(4):289-291
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo understand the diagnosis and treatment of marginal impaction of acetabular fractures.
METHODEighteen of 26 patients with marginal impaction of acetabular fractures were retrospectively reviewed. Marginal impactions was confirmed in 15 patients by CT scan before operation, and in 3 during operation. All patients were treated by ORIF, and the impacted bones were elevated with bone grafts (Bone graft was not used in one patient). All fractures were fixed with a reconstruction plate.
RESULTSThe mean follow up was 36.7 months (5 - 71 months). The modified D'Aubingne and Postel score system showed excellent results in 6 patients, good 7, fair 2, and poor 3.
CONCLUSIONPosterior fractures and dislocations of acetabular fractures are easily combined with marginal impaction, and can diagnosed by CT scan. Cortical impaction should be recognized as a special type. The impacted bone should be elevated for bone grafting.
