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Surgical treatment of acetabular fractures: review of 48 cases

The authors performed a clinical retrospective study and 48 patients' radiologic submitted to surgical treatment of moved fractures of the acetabulum, made in the period among September from 1995 to September of 1998, in the Department of Orthopedics and Traumatologia of the Hospital Cristo Redentor in Porto Alegre. The patients' age varied among 20 to 53 years, being most in the strip among 20 to 30 years (61,5%). 72,95% of the appraised patients were masculine. The accidents of automobiles were the most frequent causes (41,66%). The authors performed clinical evaluation for Merle D´Aubigné's criteria and Postell and the evaluation radiologic and classification for the criteria proposed by Tile. 62,5% of good results were obtained against 4,16% of resulted bad. They were observed as complications the lesion of the sciatic nerve (12,74%) as the most frequent. The authors conclude that the surgical treatment is preferable to the conservative treatment in the moved fractures of acetábulo, being the consistency to articulate and the precocious mobility, essential factors for the good result of the procedure. They also point out the importance of the anatomical knowledge and of the surgical experience for better results in the obtaining of the reduction and prevention of complications.

Fractures articulate moved; acetabulum; pelve


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