<ArticleSet>
<Article>
<Journal>
<PublisherName>Trauma Research Center</PublisherName>
<JournalTitle>Bulletin of Emergency And Trauma</JournalTitle>
<Issn>2322-2522</Issn>
<Volume>6</Volume>
<Issue>1 JAN</Issue>
<PubDate>
<Year>2018</Year>
<Month>01</Month>
<Day>01</Day>
</PubDate>
</Journal>
<ArticleTitle>Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience</ArticleTitle>
<FirstPage>37</FirstPage>
<LastPage>44</LastPage>
<Language>EN</Language>
<AuthorList>
<Author>
<FirstName>Seyed Amirreza</FirstName>
<LastName>Mesbahi</LastName>
<Affiliation>Shiraz University of Medical Sciences. dr.amirmesbahi@yahoo.com</Affiliation>
</Author>
<Author>
<FirstName>Ali</FirstName>
<LastName>Ghaemmaghami</LastName>
</Author>
<Author>
<FirstName>Sara</FirstName>
<LastName>Ghaemmaghami</LastName>
</Author>
<Author>
<FirstName>Pouya</FirstName>
<LastName>Farhadi</LastName>
</Author>
</AuthorList>
<History>
<PubDate>
<Year>2017</Year>
<Month>10</Month>
<Day>10</Day>
</PubDate>
<PubDate>
<Year>2017</Year>
<Month>11</Month>
<Day>11</Day>
</PubDate>
<PubDate>
<Year>2017</Year>
<Month>11</Month>
<Day>09</Day>
</PubDate>
</History>
<Abstract>Objective: To determine the functional and radiologic results of surgical treatment in patients with acetabular fractures.Methods: This was a retrospective cross-sectional study. We retrospectively reviewed medical records of patients operatively treated acute acetabular fractures at a level I trauma center (Shahid Rajaee) and an orthopedic center (Shahid Chamran) both in southern Iran (Shiraz) with minimally 1 year follow up over a period of 7 years from April 2009 to March 2016. Functional and radiographic outcomes, and complication were considered as main outcomes.Results: A total number of 79 patients completed the study. Fifty-five patients were operated through Kocher–Langenbeck approach, and 18 were operated through the standard ilioinguinal approach, and 6 patients were operated through the standard ilioinguinal approach combined with Kocher–Langenbeck approach. The mean follow-up of patients was 45.6 months. The average operative time was 162.4±78.5 min, and the median blood loss was 500 ml. Functional results were excellent in 41 patients (51.9%), good in 12 (15.2%), fair in 13 (16.5%), and poor in 13 patients (16.5%). Radiologic results were excellent in 27 cases (34.2%), good in 17 cases (21.5%), fair in 18 cases (22.8%), and poor in 16 (16.5%). Osteoarthritis of hip (60.8%) and AVN of head of femur (22.8%) were two most common complications. In addition, there wasn’t any significant difference between surgical approaches regarding clinical and radiographic outcomes.Conclusion: The operative treatment for acetabular fractures gives universally satisfactory results. Thereafter, this study provides evidence that ilioinguinal approach is a good choice for anterior fractures, Kocher–Langenbeck is a good choice for posteriors fractures, and combined approach may be a good choice in the management of acetabular fractures involving two columns.</Abstract>
<ObjectList>
<Object>
<Param>Acetabular fracture</Param>
</Object>
<Object>
<Param>Internal fixation</Param>
</Object>
<Object>
<Param>Open reduction</Param>
</Object>
<Object>
<Param>Ilioinguinal approach</Param>
</Object>
<Object>
<Param>Kocher–Langenbeck approach</Param>
</Object>
</ObjectList>
</Article>
</ArticleSet>