Seyed Reza Sharifi, MD; Seyed Mehdi Mazloomi, MD; Ali Birjandinejad, MD; Mohammad Taghi Peivandi, MD; Amir Reza Bidkhori, MD
Abstract
Background: Acetabular fracture is a common injury, with unclear treatment outcome. We are reporting the results of treatment of unstable acetabular fractures, comparing operative with non-operative treatment in a small group of patients.Methods: In a retrospective study, in a teaching hospital, 20 cases ...
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Background: Acetabular fracture is a common injury, with unclear treatment outcome. We are reporting the results of treatment of unstable acetabular fractures, comparing operative with non-operative treatment in a small group of patients.Methods: In a retrospective study, in a teaching hospital, 20 cases of unstable acetabular fracture treated with open reduction and internal fixation were compared with 20 cases who had been treated non-surgically. The mean age was 34.5 years old (20-50 yrs old). The early clinical resuts, including complications, and also treatment costs were compared in those two groups.Results: There was no significant difference in the level of function between the two groups.There was a higher rate of heterotopic ossification and nerve injury in the operated cases, but not statistically significant. The time to fracture :::union::: was less in the non-operated cases. The hospital cost was significantly higher in the non-operative group (p < /em>
Mohammad Taghi Peivandi, MD; Amir Reza Bidkhori, MD
Abstract
Background: Fracture of talus is a relatively rare disease, and treatment outcome is not always predictable. The aim of this study is to report our experience with the surgical treatment of fractures of talar body and neck.Methods: In a retrospective study, 16 patients (12 men, 4 women) with body and ...
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Background: Fracture of talus is a relatively rare disease, and treatment outcome is not always predictable. The aim of this study is to report our experience with the surgical treatment of fractures of talar body and neck.Methods: In a retrospective study, 16 patients (12 men, 4 women) with body and neck fractures of talus were evaluated in a teaching hospital in Mashhad. The mean age was 24.8 years (15-50 years). The fracture pattern, mechanism of trauma, associated injuries, :::union::: rate, avascular necrosis, pain and disability were evaluated in mean follow-up period of 18 months (12-24 months).Results: All the patients showed :::union::: during the follow-up. Five patients (31%) had avascular necrosis. The mean for Hawkins score system was 8.25. All the cases showed evidence of pain and some disability at the end of study.Conclusion: Talus fracture is a disabling injury and high incidence of pain and activity restriction should always be expected, even with surgical treatment.
