Author/Editor		Brilej, Drago; Rusek, Radoslav
Title		Uporaba zunanjega fiksatorja za zdravljenje dislociranih zlomov acetabuluma pri politravmatiziranih poškodovancih
Translated title		External fixation in central acetabular fracture dislocation in patients with multiple injuries
Type		članek
Source		In: Osteosinteza z zunanjim fiksatorjem tretje generacije. Podiplomska šola kirurških tehnik - Zunanji fiksator v sodobni travmatologiji; 2003 nov 28; Celje. Ljubljana: Medicinska fakulteta, Katedra za kirurgijo,
Publication year		2003
Volume		str. 93-8
Language		slo
Abstract		Despite the great number of publications concerning the operative treatment of acetabular fractures, conservative treatment still has an important role in selected cases. Central acetabular fracture dislocations are crippling injuries with poor prognosis. Grossly displaced fractures should be reduced as a surgical emergency. Occasionally a patient's general state does not allow the major operative procedure required to fix an acetabulum. In such cases external fixator can replace prolonged pin traction. The results of treatment of 4 multiple injured patients with central acetabular fracture dislocations treated with external fixation are presented. All were men with an average age of 46 years (22-65). Average ISS was 22 (17-34). All patients had type 62B fractures according to AO classification. Following closed reduction external fixator by means of ligamentotaxis was applied. On follow up at least two years after injury a clinical grading system proposed by d'Aubigne and Postel was used to evaluate results. The results were excellent and good in 2 patients and poor in one patient. We feel it is important to look at conservative treatment of acetabular fractures as valuable method for highly comminuted central acetabular fracture dislocations in multiple injured patients. We believe that external fixation is superior to skeletal traction and can lead to good long-term results in selected cases.
Descriptors		EXTERNAL FIXATORS MULTIPLE TRAUMA ACETABULUM FRACTURES HIP DISLOCATION TREATMENT OUTCOME