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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
205
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pubmed:dateCreated |
1986-5-27
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pubmed:abstractText |
One hundred two patients with 105 displaced fractures of the acetabulum were treated for fractures involving at least one column of the acetabulum and displaced at least 5 mm (rim fractures were excluded). The patients were primarily young adults with multiple injuries secondary to motor-vehicle-associated trauma. Fractures were classified according to the classification of Letournel. The most common fractures were the complex associated types with 44 complete both column, 19 T-shaped, and 18 associated transverse and posterior wall. Seventeen fractures were treated closed, and 88 were treated operatively. Closed treatment with skeletal traction was undertaken if roof arc measurements demonstrated a satisfactory remaining acetabular dome following fracture and in some cases of apparent congruence following complete both column fractures. Fractures not meeting these criteria were operated upon through the Kocher-Langenbeck, extended iliofemoral, or ilioinguinal approach. Ninety percent of the operations produced a satisfactory reduction of the fracture (3 mm or less displacement). A follow-up study longer than one year was obtained for 50 fractures. Clinical results were 80% satisfactory overall. Operative complications included 3% infection, 5% nerve palsy, and 7% significant ectopic bone. Operative treatment can produce satisfactory fracture reductions and clinical results with an acceptably low complication rate.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0009-921X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
241-50
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:3698383-Acetabulum,
pubmed-meshheading:3698383-Adult,
pubmed-meshheading:3698383-Aged,
pubmed-meshheading:3698383-Female,
pubmed-meshheading:3698383-Fracture Fixation, Internal,
pubmed-meshheading:3698383-Fractures, Bone,
pubmed-meshheading:3698383-Humans,
pubmed-meshheading:3698383-Male,
pubmed-meshheading:3698383-Middle Aged,
pubmed-meshheading:3698383-Postoperative Complications,
pubmed-meshheading:3698383-Prospective Studies,
pubmed-meshheading:3698383-Traction
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pubmed:year |
1986
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pubmed:articleTitle |
Fractures of the acetabulum. Early results of a prospective study.
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pubmed:publicationType |
Journal Article
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