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TITLE: Non-operative management of acetabular fractures. The use of dynamic stress views.
AUTHORS: Tornetta P 3rd
AUTHOR AFFILIATION: Boston Medical Centre, Massachusetts 02118, USA.
SOURCE: J Bone Joint Surg Br 1999 Jan;81(1):67-70
CITATION IDS: PMID: 10068006 UI: 99165357
ABSTRACT: To assess the stability of the hip after acetabular fracture, dynamic fluoroscopic stress views were taken of 41 acetabular fractures that met the criteria for non-operative management. These included roof arcs of 45 degrees, a subchondral CT arc of 10 mm, displacement of less than 50% of the posterior wall, and congruence on the AP and Judet views of the hip. There were three unstable hips which were treated by open reduction and internal fixation. The remaining 38 fractures were treated non-operatively with early mobilisation and delayed weight- bearing. At a mean follow-up of 2.7 years, the results were good or excellent in 91% of the cases. Three fair results were ascribed to the patients' other injuries. Dynamic stress views can identify subtle instability in patients who would normally be considered for non- operative treatment.
MAIN MESH HEADINGS: Acetabulum/*injuries
Fractures, Closed/*therapy
ADDITIONAL MESH HEADINGS: Acetabulum/radiography
Fractures, Closed/radiography
Hip Joint/surgery
Intraoperative Period
Joint Instability/surgery
Middle Age
Treatment Outcome