Publication:
Acetabular fractures treated surgically: Which of the parameters affect prognosis

dc.contributor.authorBilekdemir, Utku
dc.contributor.authorCivan, Osman
dc.contributor.authorÖzdemir, Hakan
dc.contributor.buuauthorCavit, Ali
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentOrtopedi ve Travmatoloji Ana Bilim Dalı
dc.contributor.researcheridAAK-9223-2020
dc.contributor.scopusid55507113700
dc.date.accessioned2024-01-18T05:43:05Z
dc.date.available2024-01-18T05:43:05Z
dc.date.issued2019-07-02
dc.description.abstractBACKGROUND: This study aims to evaluate the surgical approaches, complications, clinical and radiological findings in acetabular fractures treated with surgical methods and to determine the parameters affecting prognosis.METHODS: Out of 144 patients undergone surgical treatment with the diagnosis of displaced acetabular fractures between 1994 and 2014, a total of 103 patients with 75 male and 28 female with a mean age of 36.3 years (range 19-67 years) whom clinical and radiologic follow-ups (mean: 34 months, range 2-8 years) were performed at least for two years were included in this study.RESULTS: Clinically excellent to good outcomes were obtained in 64% of the patients and moderate to poor outcomes were recorded in 36% of the patients, while radiologically excellent to good outcomes were achieved in 57.3% of the patients and moderate to poor outcomes were recorded in 42.7% of the patients. Presence of one of the complications, creating mechanical block (chi-square p<0.001), complex fractures (chi-square p=0.023), increased duration between trauma and operation (p=0.039), operational time taking longer than six hours (chi-square p<0.001), more than 3 mm intra-articular step (Fisher's p=0.033), avascular necrosis (p<0.001), arthritis (p=0.006) and heterotopic ossification (p=0.007) worsened the clinical outcomes (chi-square p<0.001). The age of the patient was not effective on the clinical outcome (p=0.461).CONCLUSION: It was found that three major parameters affecting the prognosis of acetabular fractures are as follows: type of fracture, operational time and reduction quality. The duration between trauma and operation indirectly affects the outcomes. Avascular necrosis, heterotopic ossification and arthritis may cause negative effects only on long term outcomes.
dc.description.abstractAMAÇ: Çalışmada, cerrahi yöntemlerle tedavi edilen asetabulum kırıklarında uyguladığımız cerrahi yaklaşımları, oluşan komplikasyonları ve eldeedilen klinik ve radyolojik sonuçları değerlendirerek prognoz üstünde etkin olan parametreleri saptamak amaçlandı. GEREÇ VE YÖNTEM: Ocak 1994–Ocak 2014 tarihleri arasında deplase asetabulum kırığı tanısıyla cerrahi tedavi uygulanan 144 olgudan, en az ikiyıl süreyle klinik ve radyolojik takipleri yapılan (ortalama takip süresi 34 ay, dağılımı 2–8 yıl) ve yaş ortalaması 36.3 yıl (19–67 yıl) olan 75’i erkek, 28’ikadın toplam 103 hasta çalışmaya alındı. BULGULAR: Hastaların klinik olarak %64’ünde mükemmel ve iyi, %36’sında orta ve kötü sonuç, radyolojik olarak ise %57.3’ünde mükemmel veiyi, %42.7’sinde orta ve kötü sonuç elde edildi. Kırığın kompleks olması (ki-kare p=0.023), travma ile operasyon arası sürenin artması (p=0.039),cerrahi sürenin altı saatten uzun sürmesi (ki-kare p<0.001), eklem içi basamaklaşmanın 3 mm’den fazla olması (Fisher’s p=0.033), mekanik blokoluşturan komplikasyonların gelişmesi (ki-kare p<0.001) klinik sonuçları kötüleştirmekteydi. Hastaların yaşının klinik sonuç üzerine anlamlı etkisiyoktu (p=0.461). TARTIŞMA: Cerrahi olarak tedavi edilen asetabulum kırıklarının prognozuna etki eden üç temel parametrenin; kırık tipi, cerrahi girişim süresi ve re-düksiyon kalitesi olduğu, travma ile operasyon arasında geçen sürenin sonuçları dolaylı olarak etkilediği, avasküler nekroz, heterotropik ossifikasyonve artirtin ise sadece uzun dönem sonuçları üzerinde olumsuz etkiler yarattığı tespit edildi.
dc.identifier.citationBilekdemir, U. vd. (2020). ''Acetabular fractures treated surgically: Which of the parameters affect prognosis''. Turkish Association of Trauma and Emergency Surgery-Ulusal Travma ve Acil Cerrahi Dergisi, 26(2), 265-273.
dc.identifier.doihttps://doi.org/10.14744/tjtes.2019.88472
dc.identifier.endpage273
dc.identifier.issn1306-696X
dc.identifier.issue2
dc.identifier.pubmed32185778
dc.identifier.scopus2-s2.0-85081243984
dc.identifier.startpage265
dc.identifier.urihttps://jag.journalagent.com/travma/pdfs/UTD-88472-CLINICAL_ARTICLE-CIVAN.pdf
dc.identifier.urihttps://hdl.handle.net/11452/39122
dc.identifier.volume26
dc.identifier.wos000528165700017
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherTürk Travma ve Acil Cerrahi Derneği
dc.relation.collaborationSanayi
dc.relation.collaborationYurt içi
dc.relation.journalUlusal Travma ve Acil Cerrahi Dergisi-Turkish Association of Trauma and Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEmergency medicine
dc.subjectAcetabular fractures
dc.subjectAcetabulum
dc.subjectFractures
dc.subjectPelvic fractures
dc.subjectPrognosis of acetabular fractures
dc.subjectSurgical treatment of acetabular fractures
dc.subjectHeterotopic ossification
dc.subjectOperative treatment
dc.subjectOpen reduction
dc.subjectClassification
dc.subjectProphylaxis
dc.subjectManagement
dc.subjectAsetabulum
dc.subjectAsetabulum kırıkları
dc.subjectAsetabulum kırıkları cerrahi tedavisi
dc.subjectAsetabulum kırıkları prognozu
dc.subjectKırıklar
dc.subjectPelvis kırıkları
dc.subject.emtreeCephalosporin
dc.subject.emtreeIndometacin
dc.subject.emtreeLow molecular weight heparin
dc.subject.emtreeAbdominal injury
dc.subject.emtreeAcetabulum fracture
dc.subject.emtreeAdult
dc.subject.emtreeAged
dc.subject.emtreeArthritis
dc.subject.emtreeArticle
dc.subject.emtreeAvascular necrosis
dc.subject.emtreeClinical outcome
dc.subject.emtreeExercise
dc.subject.emtreeFemale
dc.subject.emtreeFollow up
dc.subject.emtreeHeterotopic ossification
dc.subject.emtreeHip dislocation
dc.subject.emtreeHuman
dc.subject.emtreeInfection prevention
dc.subject.emtreeIntracranial injury
dc.subject.emtreeIoint function
dc.subject.emtreeMajor clinical study
dc.subject.emtreeMale
dc.subject.emtreeNerve paralysis
dc.subject.emtreeOutcome assessment
dc.subject.emtreePostoperative period
dc.subject.emtreePrognosis
dc.subject.emtreeSciatic nerve
dc.subject.emtreeScoring system
dc.subject.emtreeSpine injury
dc.subject.emtreeSurgical approach
dc.subject.emtreeSurgical technique
dc.subject.emtreeThorax injury
dc.subject.emtreeThree-dimensional imaging
dc.subject.emtreeTreatment outcome
dc.subject.emtreeAcetabulum
dc.subject.emtreeDiagnostic imaging
dc.subject.emtreeFracture
dc.subject.emtreeInjury
dc.subject.emtreeMiddle aged
dc.subject.emtreePostoperative complication
dc.subject.emtreePrognosis
dc.subject.meshAcetabulum
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshFemale
dc.subject.meshFollow-up studies
dc.subject.meshFractures, bone
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle aged
dc.subject.meshPostoperative complications
dc.subject.meshPrognosis
dc.subject.scopusAcetabulum; Osteosynthesis; Heterotopic Ossification
dc.subject.wosEmergency medicine
dc.titleAcetabular fractures treated surgically: Which of the parameters affect prognosis
dc.title.alternativeCerrahi olarak tedavi edilen asetabulum kırıkları: Prognozu hangi parametreler etkiler
dc.typeArticle
dc.wos.quartileQ4 (Emergency medicine)
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Ortopedi ve Travmatoloji Ana Bilim Dalı
local.indexed.atPubMed
local.indexed.atScopus

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