TOTBİD Dergisi

TOTBİD Dergisi

2012, Cilt 11, Sayı, 2     (Sayfalar: 182-189)

Reduction and fixation techniques in the treatment of posterior wall and posterior column fractures

Metin Küçükkaya 1, Özgür Karakoyun 1

1 İstanbul Bilim Üniversitesi Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul

DOI: 10.5606/totbid.dergisi.2012.24
Görüntüleme: 294
İndirme : 192

According to the classification system defined by Letournel et al., posterior wall fractures and posterior column fractures are elementary fractures. Posterior wall fracture, which is the most commonly seen acetabular fracture, accounts for 25% of all acetabular fractures. A total of 30% of posterior wall fractures involve a single fragment, while the rest is multiple fragment fractures with impaction sites. Acetabular fractures often present with associated injuries, as they result from high-energy trauma. Traumatic posterior hip subluxation and sciatic nerve injuries may also present. Orthopedic treatment in the emergency setting is adapted to the other procedures to maintain hemodynamic stability and improve overall clinical status. The long-term morbidity rate of acetabular fractures is high in case of ineffective therapy. Possible complications include sciatic nerve injury, posttraumatic arthrosis, osteonecrosis, heterotopic ossification and thromboembolism. Long-term outcomes have shown that better outcomes may be obtained through better reduction of the joint surface of acetabular fracture. Displaced acetabular fractures should be managed by surgical anatomical reduction and stable fixation method, if not contraindicated.

Anahtar Kelimeler : Acetabulum; fracture; traumatic hip dislocation