scholarly journals Express diagnostic of acetabular fractures (Part I)

2019 ◽  
Vol 26 (3) ◽  
pp. 37-48
Author(s):  
S. S Stoyukhin ◽  
A. F Lazarev ◽  
Ya. G Gudushauri ◽  
S. E Solod
Keyword(s):  
Acetabular Fractures ◽  
X Rays ◽  
Fracture Type ◽  
Case Presentation ◽  
Rational Algorithm ◽  
Fracture Types ◽  
Simple Fracture

This article describes main radiologic signs of bony structures that form acetabulum. The methods of poly projection x-rays study and evaluation of it are described. Also, authors show rational algorithm of choosing fracture type according to Judet-Letournel classification. Case presentation is based on simple fracture types.

scholarly journals Actual features of express diagnostic of acetabular fractures. Part II. Complex fractures diagnostic algorithm

2019 ◽  
Vol 26 (4) ◽  
pp. 46-54
Author(s):  
S. S Stoyukhin ◽  
A. F Lazarev ◽  
Yu. G Gudushauri
Keyword(s):  
Diagnostic Algorithm ◽  
Acetabular Fractures ◽  
Fracture Type ◽  
Case Presentation ◽  
Complex Fractures ◽  
Rational Algorithm ◽  
Fracture Types

Authors shows rational algorithm of choosing fracture type according to Judet-Letournel classification. Case presentation is based on complex («associated») fracture types.

scholarly journals Matta’s criteria may be useful for evaluating and predicting the reduction quality of simultaneous acetabular and ipsilateral pelvic ring fractures

2021 ◽  
Author(s):  
Yi-Hsun Yu ◽  
Chang-Heng Liu ◽  
Yung-Heng Hsu ◽  
Ying-Chao Chou ◽  
I-Jung Chen ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Univariate Analysis ◽  
Acetabular Fractures ◽  
X Rays ◽  
X Ray ◽  
Pelvic Ring Fractures ◽  
Potential Factors ◽  
Fracture Types ◽  
Similar Risk

Abstract Background Although the incidences, fracture types, and radiological outcomes for simultaneous ipsilateral pelvic ring and acetabular fractures were reported, there have been no reports on factors that may affect reduction quality of an acetabular fracture. Here, we evaluate the radiological outcomes of patients treated for simultaneous ipsilateral pelvic and acetabular fractures and analyze the factors that affect the reduction quality of acetabular fractures.Methods We conducted a retrospective review of patients treated for simultaneous ipsilateral pelvic ring and acetabular fractures between 2016 to 2020. Potential factors were analyzed to predict inadequate reduction of the acetabular fractures.Results Data from 27 hips of 26 patients were collected. AO B2.2 and anterior columnar fractures were the most common fracture types of the pelvic ring and acetabular fractures, respectively. Univariate analysis revealed that Matta’s criteria for pelvic ring fracture may be useful for predicting fair to poor reduction quality of acetabular fractures on X-rays. Furthermore, associated fractures identified by Letournel’s classification system on CT scan may be factors for predicting greater step-offs.Conclusions The associated fractures identified via Letournel’s classification may be factors that contribute to inadequate reduction for such fractures. Matta’s criteria for pelvic ring fractures may also be useful for predicting the similar risk of inadequate reduction of the acetabulum on X-ray scans. These findings may be applied intraoperatively by fluoroscopy before the beginning of osteosynthesis for acetabular fractures.

scholarly journals Effect of Osteoporosis on Proximal Humerus Fractures

2020 ◽  
Vol 11 ◽  
pp. 215145932098539
Author(s):  
Anil Taskesen ◽  
Ali Göçer ◽  
Kadir Uzel ◽  
Yüksel Uğur Yaradılmış
Keyword(s):  
Surgical Outcomes ◽  
Proximal Humerus ◽  
City Hospital ◽  
Proximal Humerus Fractures ◽  
Fracture Type ◽  
Age And Gender ◽  
Humerus Fractures ◽  
The Mean ◽  
And Gender ◽  
Fracture Types

Introduction: Proximal humerus fractures (PHF) constitute the majority of the most common osteoporotic fractures. Bone density measurements can affect treatment methods and outcomes. This study was aimed to investigate the effect of osteoporosis values, measured from direct radiographs, on fracture type, surgical outcomes. Methods: 248 patients over 50 years of age who presented to Mersin City Hospital between 2017 and 2020 with proximal humeral fractures were retrospectively evaluated. The age and gender of the patients and the fracture types were evaluated according to the AO classification system from the direct radiographs obtained at the time of admission were recorded. The Tingart cortical thickness and deltoid tuberosity index (DTI) measurements were used to assess osteoporosis status in all patients. Postoperative and follow-up radiographs of 45 patients, treated with fixed-angle proximal humeral locking plate, were evaluated for radiographic results and their correlations with osteoporosis measurements were examined. Results: According to the demographic characteristics of the patients, 171 patients were female and 77 patients were male (F/M: 3/1), and mean age was 69.2 ± 11.66 (50-95). Considering the bone quality parameters in all patients, the mean Tingart value was 5.8 ± 1.6 mm and the mean DTI was 1.43 ± 0.17, where there was a correlation between the Tingart value and DTI (r = 0.810 and p < 0.001). Although there was a statistically significant relationship between the osteoporosis parameters and age and gender (p < 0.001 and p = 0.023, respectively), main AO fracture types were not related to osteoporosis (p < 0.05). In the operated group (n = 48, 19%), 19 patients (42%) showed poor outcomes, which were not associated with age and osteoporosis parameters. Conclusion: This study was concluded that osteoporosis parameters differ between genders and age groups in patients with PHF, however osteoporosis is not the main factor affecting the fracture type and surgical outcomes.

scholarly journals Hip Fracture Types in Canadian Men and Women Change Differently with Age: A Population-Level Analysis

2016 ◽  
Vol 9 ◽  
pp. CMAMD.S38531 ◽  
Author(s):  
Richard G. Crilly ◽  
Marita Kloseck ◽  
Selam Mequanint
Keyword(s):  
Hip Fracture ◽  
Relative Proportion ◽  
Local Population ◽  
Population Level ◽  
Community Dwelling ◽  
Administrative Database ◽  
Fracture Type ◽  
Discharge Abstract Database ◽  
Fracture Types

Background We have previously reported a gender difference in the occurrence of hip fracture type with age in our local population. In the current report, we have explored this phenomenon in a Canadian population using five years of data from a national administrative database. We have compared community-dwelling and institutionalized individuals to determine if frailty is important and has a differential effect on the type of hip fracture experienced. Methods Hospitalization records from 2005 to 2009, in which the most responsible diagnosis, that is the diagnosis causing the admission to hospital, was a hip fracture, were obtained from the Discharge Abstract Database of the Canadian Institute for Health Information. Hip fracture type was identified using the Canadian Classification of Health Interventions and the International Classification of Diseases 10th Revision, Canada (ICD-10-CA). Hip fracture proportions were calculated for the study period and stratified by age group and sex. Results The relative proportion of intertrochanteric fractures in women rose from 35% in the youngest group (55–59 years) to 51% in the oldest group (84+ years; P < 0.0001). In men, the proportions remain relatively stable (47% and 44%, respectively). Community and institutionalized patients showed the same pattern. Conclusions The change in the proportion of the two hip fracture types that occur in women but not men may point to differences in the etiology and consequently the approaches to prevention for the two fracture types. Level of frailty did not seem to be important.

scholarly journals The Reconstruction Accuracy of the Hip Center of Rotation After Cementless Total Hip Arthroplasty for Failed Treatment of Acetabular Fractures. Does It Matter?

2021 ◽  
Author(s):  
Liang Zhang ◽  
Mingxue Chen ◽  
Zhuyi Ma ◽  
Tao Bian ◽  
Shaoliang Li ◽  
...  
Keyword(s):  
Harris Hip Score ◽  
Acetabular Fractures ◽  
X Rays ◽  
Reconstruction Accuracy ◽  
Center Of Rotation ◽  
Total Hip ◽  
Radiographic Outcomes ◽  
Negative Effect ◽  
Hip Arthroplasties

Abstract Background To assess the impaction of reconstruction accuracy of hip center of rotation (COR) on midterm clinical and radiographic results of cementless reconstruction of total hip arthroplasties (THAs) for patients after failed treatment of acetabular fractures. Methods One hundred and four patients (107 hips) who underwent THAs after failed treatment of acetabular fractures were retrospectively evaluated and cementless cups and stems were implanted in all hips. Clinical outcomes were assessed using the Harris hip score (HHS) and Western Ontario and McMaster Universities Arthritis Index (WOMAC) scoring system. Radiographic results were analyzed by serial perioperative x-rays. Results At the latest follow-up examination, the median HHS increased from 52 (42-65) before surgery to 93 (90-97) (p < 0.001) and the median WOMAC decreased from 52 (36-65) before surgery to 5.8 (1.5-8) (p < 0.001). Compared with normal contralateral hip, 79 cups migrated superiorly (0.2-33.6mm) and 22 cups migrated inferiorly (0.2-16.1mm). The distance of superior migration of reconstructed COR was correlated with positive Trendelenburg sign at the latest follow-up examination (r=0.504; p < 0.001). The percentage of postoperative Trendelenburg sign was significantly higher in superior migration subgroup than that in subgroup with anatomical restoration of COR (P=0.015). Conclusions Cementless THAs in patients after failed treatment for acetabular fractures achieved predictable clinical and radiographic outcomes. A superiorly migrated hip COR appeared to exert a negative effect on abductor muscle function.

scholarly journals How Did the Restrictions Effect the Orthopaedic Trauma Surgery During Covid-19 Pandemic at a Level 1 Tertiary Trauma Hospital?

2020 ◽  
Author(s):  
Bulent Kilic ◽  
Deniz Gulabi ◽  
Anıl Agar ◽  
Halil Buyukdogan ◽  
Adem Sahin ◽  
...  
Keyword(s):  
Trauma Surgery ◽  
High Energy ◽  
Control Group ◽  
Time Interval ◽  
Orthopaedic Trauma ◽  
Fracture Type ◽  
Trauma Mechanism ◽  
Number Of Patients ◽  
Significant Difference ◽  
Fracture Types

Abstract BackgroundThe aim of the study was to evaluate and compare the demographic characteristics, the trauma mechanism, and fracture types between patients under 20 years of age, 20-65 years of age, and over 65 years of age between the COVID-19 pandemic and the pre-pandemic period.MethodsPatients who were hospitalized and treated for orthopedic treatment between 10 March and 1 June during the pandemic period were retrospectively analyzed. Control group consisted of patients admitted to the hospital in the same time interval in 2019.The patients were divided into three groups, under 20 years of age, between 20-65 years of age, and over 65 years of age. The patients’ data included age, gender, trauma mechanism, fracture type, any COVID-19 radiological or clinical symptoms.ResultsThe number of patients > 65 years old admitted to orthopaedic trauma center were high at pandemic interval compared to pre-pandemic time. When the groups were compared for patients of 20-65 years old; there was a significant difference for the fracture type (p<0.05). Lower extremity fractures were high at pre-pandemic group whereas multiple traumas were high at pandemic group. For sub-group 20-65 ages, low energy traumas were higher at pre-pandemic group whereas high energy traumas were more frequent at pandemic group.ConclusionWe observed a decrease in fracture admission to ortopaedic trauma centers during COVID-19 pandemic for subgroups of < 20 years old and 20-65 years old ages, whereas there was a significant increase for > 65 years old age, most of them related to the osteoporotic hip fractures. So that older age group should be encouraged to mobilized at home and have permission to walk and make physical activity to avoid osteoporosis for a limited time daily.

The Relative Incidence of Fractures at the Base of the Proximal Phalanx of the Fingers in Children

2008 ◽  
Vol 33 (4) ◽  
pp. 465-468 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
K. AL-ZAHRANI ◽  
A. A. AL-BOUKAI
Keyword(s):  
Prospective Study ◽  
Proximal Phalanx ◽  
Type I ◽  
X Rays ◽  
Type Ii ◽  
Fracture Type ◽  
Type Iv ◽  
Salter Harris ◽  
A Prospective Study ◽  
Musculoskeletal Radiologist

There is debate regarding the most common fracture type at the base of the proximal phalanx of the fingers in children prior to closure of the epiphysis. In total, 100 consecutive children presenting with 103 fractures were included in a prospective study and their X-rays were reviewed by a consultant musculoskeletal radiologist. The study included 61 boys and 39 girls with a mean age of 10 (range 4–14) years. The most common fracture observed was the juxta-epiphyseal type II fracture (53%), followed by the Salter–Harris type II fracture (26%). Other fractures observed included Salter–Harris type I (4%), Salter–Harris type IV (5%), juxta-epiphyseal type I (8%), transverse metaphyseal (2%) and oblique metaphyseal (2%).

scholarly journals Bone defects are repaired by enhanced osteogenic activity of the induced membrane: a case report and literature review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ye Lu ◽  
Jian Wang ◽  
Ying Yang ◽  
Qudong Yin
Keyword(s):  
Literature Review ◽  
Bone Defects ◽  
X Rays ◽  
Case Presentation ◽  
Inflammatory Reactions ◽  
Induced Membrane ◽  
Osteogenic Activity ◽  
Membrane Technique ◽  
Induced Membrane Technique ◽  
Pmma Beads

Abstract Background The induced membrane technique (IMT) is an effective strategy to repair bone defects and involves a two-stage set of surgical procedures. Although the IM has osteogenic activity, bone grafting is necessary in standard IMT. Bone defects repaired completely by osteogenic activity of the IM alone without bone grafts are rare. Case presentation We present a case of infected fractures and bone defects of the ulna and radius treated with IMT. After the first stage using polymethylmethacrylate (PMMA) beads, X-rays showed that new callus developed after 2 to 4 months, and the defects were repaired completely by 5 months. We also present a literature review on spontaneous osteogenesis of the IM in patients. Conclusions We present a case of infected ulnar and radial bone defects that healed by 5 months after the first stage of the IMT using a PMMA spacer. This finding suggests that local associated inflammatory reactions and bone tissue might enhance the osteogenic activity of the IM, causing spontaneous healing of bone defects. This appears to be the first such case reported in the literature.

scholarly journals Management of intraoperative acetabular fracture in primary total hip arthroplasty

2020 ◽  
Author(s):  
Juncheng Li ◽  
Quanbo Ji ◽  
Ming Ni ◽  
Qingyuan Zheng ◽  
Jinyang Sun ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acetabular Fracture ◽  
Acetabular Fractures ◽  
Fracture Rate ◽  
X Rays ◽  
Total Hip ◽  
Acetabular Components ◽  
Primary Total Hip Arthroplasty

Abstract Background: Intraoperative acetabular fracture（IAF）is a rare complication of primary total hip arthroplasty（THA）. The previous reports have lacked a sufficiently large number of subjects to allow for an analysis of the causes and appropriate treatment of this problem.Methods: Between 2015 to 2018, 4,888 primary THA were enrolled. We retrospectively reviewed the records in our Total Joint Registry Database and found that 24 patients (24 hips) had sustained intraoperative acetabular fractures. Twenty-four patients（16 females and 8males）were all treated with a posterolateral approach using uncemented components. Twenty patients（83.3%）underwent supplemental screw fixation, of which 2 patients were treated with steel plate fixation. Two patients’ femoral heads were used as a graft. In 4 patients（16.7%）, the acetabular components were judged to be stable despite the fracture and no additional treatment was performed. All patients were evaluated clinically with Harris Hip Scores (HHS) and radiographically with serial X-rays which follow up for a mean period of 34.0±12.6 months. We evaluated the anatomic locations, causes, treatments, and outcome of the fractures to study the treatment method and effect of intraoperative acetabular fracture during operation. Results: The fracture rate associated with uncemented components was 0.49%. In 17(70.8%) of these patients, the fracture was noted during the impaction of the real acetabular component. Six patients（25%）with Ankylosing Spondylitis had fractures, 4 in the anterior wall, and 1 in the anterior column, because the patient with hip joint fusion needs a to pre-osteotomy before the dislocation. The HHS score increased from 30.8±9.7 preoperatively to 90.2±4.2 postoperatively. All the latest x-ray showed that the fracture did not move, and there is no translucent line formed in the acetabular cup bone interface.Conclusion: Intraoperative acetabular fractures are rare complications of THA, and most commonly occur during the implantation of the acetabular components. It is necessary to prevent the occurrence of fractures as much as possible even if the fractures are found during the operation. It should be noted that patients with ankylosing spondylitis involving hip joints during THA surgery must be careful to prevent IAFs during dislocation and pre-osteotomy.

scholarly journals Matta’s criteria may be useful for evaluating and predicting the reduction quality of simultaneous acetabular and ipsilateral pelvic ring fractures

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yi-Hsun Yu ◽  
Chang-Heng Liu ◽  
Yung-Heng Hsu ◽  
Ying-Chao Chou ◽  
I-Jung Chen ◽  
...  
Keyword(s):  
Acetabular Fracture ◽  
Pelvic Ring ◽  
Univariate Analysis ◽  
Poor Quality ◽  
Fracture Reduction ◽  
Acetabular Fractures ◽  
X Rays ◽  
X Ray ◽  
Pelvic Ring Fractures

Abstract Background Although the incidence, types, and radiological outcomes of simultaneous ipsilateral pelvic ring and acetabular fractures have been reported, there have been no reports on factors that may affect the quality of acetabular fracture reduction. Here, we evaluate the radiological outcomes of patients treated for simultaneous ipsilateral pelvic and acetabular fractures and analyze the factors that affect the quality of acetabular fracture reduction. Methods We conducted a retrospective review of patients treated for simultaneous ipsilateral pelvic ring and acetabular fractures between 2016 and 2020. Factors that may predict inadequate reduction of the acetabular fracture were analyzed. Results Data from 27 hips of 26 patients were collected. AO B2.2 and anterior columnar fractures were the most common types of pelvic ring and acetabular fractures, respectively. Univariate analysis revealed that Matta’s criteria for pelvic ring fracture may be useful for predicting fair to poor quality of acetabular fracture reduction on X-rays. Furthermore, associated fractures identified by Letournel’s classification system on computed tomography may be predictive of greater step-offs. Conclusions Associated fractures identified via Letournel’s classification may contribute to inadequate reduction of acetabular fractures. Matta’s criteria for pelvic ring fractures may also be useful for predicting the risk of inadequate reduction of the acetabulum on X-ray scans. These findings may be assessed intraoperatively by fluoroscopy before beginning osteosynthesis for acetabular fractures.

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