Journal of Trauma and Injury

Management and Outcome of Patients with Acetabular Fractures: Associated Injuries and Prognostic Factors: Do-Hyun Yeo, Jong-Keon Oh, Jae-Woo Cho, Beom-Soo Kim; J Trauma Inj. 2019;32(1):32-39. Published online March 31, 2019; DOI: https://doi.org/10.20408/jti.2018.016

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Purpose

The aim of this study was to determine which factors contribute to the surgical treatment outcomes of acetabular fractures. Simultaneously, we aim to report on the treatment results after our hospital was designated as the focused training center for trauma.

Methods

We conducted a retrospective review of all patients who experienced acetabular fractures from January 1, 2014 to May 1, 2017 and visited our hospital. Patients who had associated pelvic ring fractures or were lost to the one-year follow-up were excluded; a total of 37 fractures were evaluated. We evaluated the clinical results using the scoring system of Merle d’Aubign? (MDA) and grade of Brooker for heterotopic ossification.

Results

Thirty-seven patients (31 men and 6 women) were identified. The mean injury severity score (ISS) was 8.7, with 32.4% of patients having a score >15. The average blood transfusion in the first 24 hours was 0.54 pints. Falling was the most common injury mechanism (32.4%). Chest injury was the most common associated injury (16.2%), followed by head injury (13.5%). The posterior wall and both column fracture were the most common (37.8%) fracture patterns. Excellent and good clinical grades of MDA included 28 patients (75.6%) and fair and poor grades included nine (24.3%), respectively. Four patients were diagnosed with a post-operative infection (10.8%); one out of four patients who had co-morbidity died (2.7%), and another patient underwent a replacement surgery (2.7%). Multivariate analysis showed that age and operation time were associated with MDA. In addition, operation time and ISS were significant co-factors of the Brooker grade.

Conclusions

Korea University Guro Hospital showed similar treatment results of acetabular fractures compared to other publications. The age and operation time were co-factors of the clinical outcome of this fracture. Additionally, increased operation time and injury severity score were suggested to increase the Brooker grade.

Summary

Citations

Citations to this article as recorded by

Outcome of acetabulum fractures treated with open reduction and internal fixation through Kocher-Langenbeck Approach: A retrospective study
Dharmendra Kumar, Narendra Singh Kushwaha, Prakash Gaurav Tiwari, Yashvardhan Sharma, R.N. Srivastava, Vineet Sharma
Journal of Clinical Orthopaedics and Trauma.2021; 23: 101599. CrossRef
FUNCTIONAL AND RADIOLOGICAL OUTCOMES OF ACETABULAR FRACTURES
Sangam Jain, Dishit Vaghasia, Tanay Nahatkar, Spandan Koshire, Amol Salve, Vinod Kumar Yadav
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2021; : 1. CrossRef

Minimally Invasive Stabilization with Percutaneous Screws Fixation of APC-3 Pelvic Ring Injury: Beom-Soo Kim, Jong-Keon Oh, Jae-Woo Cho, Do-Hyun Yeo, Jun-Min Cho; J Trauma Inj. 2019;32(1):60-65. Published online March 31, 2019; DOI: https://doi.org/10.20408/jti.2018.015

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Abstract PDF: Pelvic fractures are associated with life-threatening injuries and high rates of morbidity and mortality. Management of internal blood loss associated with unstable pelvic ring injuries is paramount during the initial period. The reconstruction of the pelvic ring is of importance because it is a major contributor to the stability of the pelvic ring. We report the case of a 25-year-old man who had an unstable pelvic ring fracture combined with rupture of an obturator artery and had a successful and satisfactory treatment using minimally invasive surgery with percutaneous antegrade screw fixation.; Summary

Surgical Treatment of Ipsilateral Multi-Level Femoral Fracture Treated Using Antegrade Intramedullary Nail: Beom-Soo Kim, Jae-Woo Cho, Do-Hyun Yeo, Jong-Keon Oh; J Trauma Inj. 2018;31(2):96-102. Published online August 31, 2018; DOI: https://doi.org/10.20408/jti.2018.31.2.96

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Abstract PDF: Ipsilateral fractures of proximal femur with shaft and condylar region are very rare. Current concept of management is based on fixation of each fracture as independent entity using separate fixation modalities for proximal and distal parts of femur. However, we considered that antegrade femoral nailing with cephalomedullary screw fixation is a good option for ipsilateral multi-level femoral fractures. Here, we present an experience of satisfactory treatment for ipsilateral femoral neck fracture, subtrochanteric fracture, comminuted shaft fracture with supracondylar fracture following road traffic accident.; Summary

Proximal Tibia Fracture after Proximal Tibia Autograft Harvest: Jin-Kak Kim, Jong-Hyeop Song, Kyungbum Lee, Jae-Woo Cho, Ki-Ho Moon, Do-Hyun Yeo, Beom-Soo Kim, Jong-Keon Oh; J Trauma Inj. 2017;30(4):247-252. Published online December 30, 2017; DOI: https://doi.org/10.20408/jti.2017.30.4.247

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Abstract PDF

Bone-grafting procedures are common in orthopedic trauma surgeries. There are only few reports on the morbidity after proximal tibia harvesting. Here, we report an experience of complication after proximal tibia harvesting while treating subtrochanteric femoral osteomyelitis.

Summary

Citations

Citations to this article as recorded by

Novel Vacuum-Assisted Method for Harvesting Autologous Cancellous Bone Graft and Bone Marrow From the Proximal Tibial Metaphysis
Adam M. Lukasiewicz, Paul S. Bagi, Kristin E. Yu, Vineet Tyagi, Raymond J. Walls
Foot & Ankle Orthopaedics.2021; 6(1): 247301142098190. CrossRef

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