Surgically Treated Posterior Acetabular Fractures Via Iselin’s Modified Approach with A Short-Term Follow-Up

Year 2019, Volume: 5 Issue: 2, 93 - 99, 28.08.2019

Erdem Değirmenci , Zafer Orhan Mehmet Arıcan , Zekeriya Karaduman , Yalçın Turhan , Ozan Turhal

https://doi.org/10.19127/mbsjohs.561885

Cited By: 1

Abstract

Objective: The main purpose of the surgical
treatment of posterior acetabular fracture is to achieve anatomical reduction
to attain a functional and stable hip joint without pain. Although
Kocher-Langenbeck (K-L) approach is the most commonly used surgical exposure,
various modified approaches have been described in the literature. The aim of
this study to determine the early surgical results of the acetabulum posterior
fractures surgery via Iselin's modified K-L approach.

Methods: We reviewed the hospital records of
patients who were operated for acetabulum posterior wall fractures via Iselin's
modified approach between 2016 and 2018. All patients had detailed
radiological, clinical evaluation and fractures were classified by AO/ASIF classification.
All patients had radiological and clinical evaluation at the end of the
postoperative 1^st year.

Results: There were 16 men and 4 women with
an average age of 42.8±18.0 (range 18-77) years. The average follow-up was
14.8±6.1 (range 6-28) months. The right hip was involved in 12 (60%) patients
and the left in 8 (40%) patients. The average operative time was 78.6±16.7
(range, 54–115) minutes. Average blood loss during the operation was
179.22±51.9 (range, 100–260) ml. The postoperative reduction was graded as
anatomic (0–1 mm of displacement) for 17 hips and imperfect (2–3 mm of
displacement) for 3 patients. No patient had a deep infection, implant
loosening, recurrent dislocation, deep venous thrombosis (DVT), pulmonary
embolism (PE) or revision fixation.

Conclusion: The modified approach of Iselin is
a successful approach with its ease in the surgery of displaced fractures that
extending proximally and early radiological and functional results.

Keywords

Acetabulum Fracture, Posterior Wall, Modified Method of Iselin

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