Le fratture trasverse di acetabolo e il loro trattamento
Abstract
TRANSVERSE ACETABULAR FRACTURES
Transverse acetabular fractures are demanding and challenging for orthopaedic surgeons and they represent up to
22% of all acetabular fractures. They involve either the anterior or the posterior column; reduction of both columns
may not be easy using a single approach. Usually the iliofemoral or the Langenbeck approaches are used to reduce and
fix those fractures but their limit is poor control in the reduction of the opposite column. A safe hip dislocation
technique has been proposed to avoid this limit and in the literature good results are reported. Anatomic reduction
and stable fixation are essential to achieve good results and to procrastinate arthritis in young patients. In the elderly,
transverse fractures may be treated with direct total hip arthroplasty associated with posterior column fixation
although these treatments involve high complications rates.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright
© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2018 , 2018
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