Assessing Postoperative Reduction After Acetabular Fracture Surgery: A Standardized Digital Computed Tomography-Based Method

Overview

Journal J Orthop Trauma

Specialties Emergency Medicine
Orthopedics

Date 2018 Feb 27

PMID 29481491

Citations 14

Authors

Diederik O Verbeek

Jelle P van der List

Gele B Moloney

David S Wellman

David L Helfet

Affiliations

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Abstract

Quality of reduction after acetabular fracture surgery is an important predictor of clinical outcome. Computed tomography (CT) is likely superior to plain pelvic radiography for assessment of postoperative reduction, but interobserver reliability may be limited in the absence of a widely adopted technique. We describe a standardized digital CT-based method for measuring residual (gap and step) displacement on CT after acetabular fracture surgery. In a selection of patients, we determined the interobserver reliability for measuring displacement and grading the quality of reduction on postoperative pelvic radiography and CT, with and without the use of this novel technique.

Citing Articles

Delayed Fixation of Acetabular Fractures Affects Functional Outcomes and Health-Related Quality of Life, Not Just Quality of Reduction.

Dissaneewate K, Khongkanin T, Jarayabhand R Indian J Orthop. 2024; 58(6):722-731.

PMID: 38812864 PMC: 11130087. DOI: 10.1007/s43465-024-01163-x.

Efficient hip joint distraction using the AO large femoral distractor in treating acetabular fractures associated with marginal impaction and intraarticular incarcerated fragments.

Badran M, Khalifa A, Fergany A, Ibrahim B, Moustafa M, Adem E BMC Musculoskelet Disord. 2024; 25(1):242.

PMID: 38539141 PMC: 10967084. DOI: 10.1186/s12891-023-07143-w.

Effect of O-arm on reduction quality and functional recovery of acetabular dome impaction fractures: a retrospective clinical study.

Deng H, Cong Y, Lei J, Li D, Ke C, Fan Z BMC Musculoskelet Disord. 2023; 24(1):858.

PMID: 37919740 PMC: 10621090. DOI: 10.1186/s12891-023-06987-6.

The Saint-Joseph Acetabular score: a reproducible and accurate prediction of the outcome of open reduction and internal fixation of acetabular fractures.

Melhem E, Rizkallah M, Abid H, Moreau P, Upex P, Zaraa M Int Orthop. 2023; 47(12):2977-2984.

PMID: 37555849 DOI: 10.1007/s00264-023-05913-8.

Both-column Acetabular Fractures with Posterior Wall Involved can be Managed through Single Anterior Approach by Evaluation of Computer-assisted Virtual Surgery Technique.

Wan Y, Xue P, Chen K, Yan D, Yu K, Huang G Orthop Surg. 2023; 15(9):2400-2409.

PMID: 37435882 PMC: 10475672. DOI: 10.1111/os.13775.