Radiological And Functional Outcomes Of Approach Choice In Surgical Management Of Transverse Acetabular Fractures | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 30 October 2024 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2024.326388.1814 | ||
| Authors | ||
| Ahmed Sayed abdelnaem Abdelaziz* 1; Ahmed S. Abdelfattah2; Mohamed A. Abozeid2 | ||
| 1Department of orthopedic surgery and traumatology, Faculty of Medicine, Minia University | ||
| 2Department of Orthopaedic Surgery &Traumatology, Faculty of Medicine, Minia University | ||
| Abstract | ||
| Background: A transverse acetabular fracture merely affects the acetabulum only and not extending to the obturator ring. Both the columns of the acetabulum are affected to be considered a transverse fracture. Conventional methods of therapy, such as the combined double or extensile approach with anterior and posterior column plating are now considered aggressive treatment. Aim and Objectives; To radiologically and functionally assess the postoperative outcomes of patients with transverse acetabular fractures fixed through kocher langenbeck approach versus anterior intrapelvic approaches. Patients and Methods; This prospective randomized controlled study included 28 patients who came to Minya University Hospital Emergency Unit with a transverse acetabular fracture between 2021 and 2024. Results; Age, sex, injury mechanism, comorbidities, preoperative displacement, postoperative reduction quality according to Matta criteria, and Merle d'Aubigne score were not substantially different between the groups . Conclusion: Transverse acetabular fractures treated surgically using anterior or posterior approaches achieved comparable outcomes . | ||
| Keywords | ||
| kocher-langenbeck (KL); modified stoppa approach; transverse acetabular fractures; anterior intrapelvic approach | ||
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