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العنوان
SYSTEMATIC REVIEW ON OUTCOME OF PERCUTANEOUS SCREW FIXATION FOR FRACTURES OF THE ACETABULUM/
المؤلف
Badawi, Mohamed Yousef Badawi Mohamed.
هيئة الاعداد
باحث / Mohamed Yousef Badawi Mohamed Badawi
مشرف / Abdel Fattah Mohamed Fathy Saoud
مشرف / Fady Micheal Fahmy Ibrahim
تاريخ النشر
2016.
عدد الصفحات
160 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

from 160

from 160

Abstract

Background: Treatment of non-displaced or minimally displaced acetabular fractures through closed reduction and percutaneous fixation using computed tomography or the guidance of fluoroscopy has attracted interest.
Aim of the work: The purpose of this study was to provide cumulative data about the intermediate to long term outcome of percutaneous screw fixation of acetabulum fractures in literature and to provide a summary of this fixation type efficiency in acetabular fractures.
Methodology: This is a systematic review on outcome of percutaneous screw fixation for fracture of the acetabulum. We performed the literature search using the following search terms: percutaneous screw fixation of acetabulum fractures, fixation of fractures acetabulum percutaneous, column screw fixation of fractures acetabulum, outcome of percutaneous fixation of fractures acetabulum and outcome after acetabulum fractures fixation using percutaneous screw. Search queries were limited to the title and abstract, and the language was restricted to English. The electronic search involved the PubMed.
Results: A total of 18 studies of 329 cases met our inclusion criteria. 6 studies were excluded due to unclear clinical data, follow up data, absence of hip score and radiological results. We studied 12 papers including 228 patients who were assigned to three techniques of percutaneous screw fixation of acetabular fractures. 128 patients were treated with conventional technique and 96 patients were treated with computer navigation technique. 4 patients were treated with the arthroscopic assisted technique for percutaneous fixation of acetabular fractures.
Conclusion: Percutaneous screw fixation of fracture acetabulum has good results on treatment of non-displaced, minimally displaced and reducible displaced fracture acetabulum as it helps early mobilization, decreases blood loss, decreases operation time and lowers risk of infection. Learning curve should be taken in consideration as it might significantly affect the outcomes and may add another limitation for percutaneous screw fixation of fracture acetabulum.