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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2006 April;57(2):41-5
Acetabular fractures clinical and radiological evaluation
Matteotti R., Nicodemo A. 2, Raspino E. 3, Tirone M., Massè A.
1 I Clinica Ortopedica e Traumatologica ASO CTO-CRF, Maria Adelaide, Torino
2 Divisione di Ortopedia Ospedale S. Giovanni Bosco, Torino
3 Divisione ortopedia Ospedale Agnelli, Pinerolo, Torino
Aim. The aim of this paper is the evaluation of correlations between measurements on the antero-posterior standard pelvic radiogramm in acetabular factures and clinical evaluation of the patients with the Harris Hip Score.
Methods. In this study 41 patients with acetabular monolateral fractures surgically treated from July 1999 to March 2005 has been reviewed. Complete radiological documentation and a minimum 6 months follow-up were obtained. In each anteroposterior pelvic radiogramm, the distance between the medial and lateral end of the acetabular roof, the LCE-angle (Wiberg’s angle) and the acetabular-index from the uninjured side and from the fractured side has been measured. The uninjured roof percentual, the LCE-angle and acetabular index difference were calculated. The Harris Hip Score (HHS) of the 41 patients has been evaluated by telephone interviews. The obtained measurements has been correlated with Harris Hip Score results.
Results. Harris Hip Score results correlated with statistical significance (P=0.002) with the percentual of the post-operative reconstructed roof.
Conclusion. We evinced that exists a correlation between the postoperative roof percentual reconstructed and the clinical result. Patients in which a greater portion of the acetabular roof has been reconstructed have a considerably better result to the follow-up.