Percutaneous retrograde screwing for stabilisation of acetabular fractures.

Détails

ID Serval
serval:BIB_9D77654216E8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Percutaneous retrograde screwing for stabilisation of acetabular fractures.
Périodique
Injury
Auteur(s)
Mouhsine E., Garofalo R., Borens O., Wettstein M., Blanc C.H., Fischer J.F., Moretti B., Leyvraz P.F.
ISSN
0020-1383
Statut éditorial
Publié
Date de publication
2005
Peer-reviewed
Oui
Volume
36
Numéro
11
Pages
1330-6
Langue
anglais
Notes
Publication types: Evaluation Studies ; Journal Article - Publication Status: ppublish
Résumé
OBJECTIVES: To evaluate the results of retrograde percutaneous screw fixation (PSF) in minimally or undisplaced acetabular fractures in a geriatric population. PATIENTS AND METHODS: Between July 1998 and July 2001, 21 consecutive patients with an acetabular fracture underwent fluoroscopic guided percutaneous fixation. The mean age was 81 years (range 67--90 years). In all cases, the fracture was minimally or undisplaced (<2mm). Two cannulated cancellous 7.3mm screws were inserted in a retrograde fashion to stabilise the posterior and the anterior column. Bed to chair transfer began after 24h. Weight bearing as tolerated was allowed at 4 weeks. RESULTS: Eighteen patients were reviewed at a mean of 3.5 years (range 2--5 years). Soft tissue dissection was minimal. There were no intraoperative or postoperative complications. At the latest follow-up there was no radiographical evidence of secondary displacement of fragments, degenerative changes, or screw failure. Fractures healed at a mean time of 12 weeks (range 8--15 weeks). Clinical results were satisfactory in 17 patients. CONCLUSION: Our results show that percutaneous screw fixation under fluoroscopic control is a safe technique to treat some pattern of acetabular fracture.
Mots-clé
Acetabulum, Aged, Aged, 80 and over, Bone Screws, Female, Fracture Fixation, Fractures, Bone, Humans, Male, Postoperative Complications, Surgical Procedures, Minimally Invasive, Treatment Outcome, Wound Healing
Pubmed
Web of science
Création de la notice
24/01/2008 16:13
Dernière modification de la notice
20/08/2019 16:03
Données d'usage