The role of patient positioning on the outcome of acetabular fractures fixation through the Kocher-Langenbeck approach
| Autor: | Elhadi Babikir, Ghalib Ahmed Alhaneedi, Motasem Salameh, Abdulaziz F Ahmed, Mohammad Hammad, Bivin George |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Radiography medicine.medical_treatment Patient Positioning 03 medical and health sciences Fixation (surgical) Fracture Fixation Internal Fractures Bone 0302 clinical medicine Medicine Internal fixation Humans Orthopedics and Sports Medicine Retrospective Studies 030222 orthopedics business.industry Hip Fractures Acetabular fracture 030208 emergency & critical care medicine Retrospective cohort study Acetabulum Sciatic nerve injury medicine.disease Surgery Treatment Outcome Heterotopic ossification business |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 31(3) |
| ISSN: | 1432-1068 |
| Popis: | Open reduction and internal fixation through the Kocher–Langenbeck approach is the treatment of choice for selected acetabular fracture patterns. Patient positioning (lateral vs prone) can affect the outcome and post-operative complications. A retrospective cohort of seventy-three adult patients’ with acetabular fractures treated with open reduction and internal fixation through the Kocher–Langenbeck approach in either prone or lateral position. Primary outcome was the quality of radiographic fracture reduction; secondary outcomes included operative time, intra-operative estimated blood loss and pre-operative complications. The demographics and fracture type were similar between the two groups. There was no difference in the quality of reduction using the Matta radiographic grading. Laterally positioned group demonstrated significant shorter surgical time and lower incidence of iatrogenic sciatic nerve injury. There was no difference in estimated blood loss, heterotopic ossification or infection. This study showed no difference in the quality of fracture reduction, intraoperative blood loss, post-operative infection and heterotopic ossification between both groups. Hence, patients’ condition, surgeon experience and preference are important factors for deciding patient positioning in the Kocher–Langenbeck approach for acetabulum fracture fixation. |
| Databáze: | OpenAIRE |
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