The pararectus approach for internal fixation of acetabular fractures involving the anterior column: evaluating the functional outcome.
Von Rueden C, Wenzel L, Becker J, Thannheimer A, Augat P, Woltmann A, Buehren V, Perl M (2019)
Publication Type: Journal article
Publication year: 2019
Journal
Book Volume: 43
Pages Range: 1487-1493
Journal Issue: 6
DOI: 10.1007/s00264-018-4148-8
Abstract
INTRODUCTION: Aim of this retrospective analysis of prospectively collected data was to evaluate the functional mid-term outcome two years after open reduction and internal fixation of acetabular fractures involving the anterior column with affection of the quadrilateral plate using the pararectus approach on a large cohort. METHOD: Fifty-two patients (12 female, 40 male) with a median age of 55 (range 18-90) years and displaced acetabular fractures involving the anterior column were surgically treated in a single level I trauma centre between July 2012 and February 2016 using the pararectus approach. Thirty-four patients (8 female and 26 male) with a median age of 58 (range 20-85) years were available for complete clinical follow-up at regular intervals, finally 24 months post-operatively. Functional outcome was evaluated according to modified Merle d'Aubigné score, Lower Extremity Functional Scale, WOMAC, and SF-36. RESULTS: Range of time between trauma and surgical treatment was three (range 0-19) days. Operation time was 140 (range 60-240) minutes, and duration of hospital treatment was 19 (range 7-38) days. Functional results in 34 patients available for final follow-up demonstrated 68 points (median; range 39-80) according to the Lower Extremity Functional Scale, 6% according to the WOMAC (mean; SD ± 14.5%), and 69% (mean; SD ± 20.1%) according to the SF-36. The modified Merle d'Aubigné score was excellent in 22 patients, good in eight patients, and fair in four patients. DISCUSSION/CONCLUSION: Based on the good to excellent functional mid-term follow-up results of this study, the pararectus approach can be recommended as sufficient alternative single access to address displaced acetabular fractures involving the anterior column, independent of patients' age.
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Germany (DE)How to cite
APA:
Von Rueden, C., Wenzel, L., Becker, J., Thannheimer, A., Augat, P., Woltmann, A.,... Perl, M. (2019). The pararectus approach for internal fixation of acetabular fractures involving the anterior column: evaluating the functional outcome. International Orthopaedics, 43(6), 1487-1493. https://dx.doi.org/10.1007/s00264-018-4148-8
MLA:
Von Rueden, Christian, et al. "The pararectus approach for internal fixation of acetabular fractures involving the anterior column: evaluating the functional outcome." International Orthopaedics 43.6 (2019): 1487-1493.
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