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Search Results: 1 - 10 of 45 matches for " Acetabulum "
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Periacetabular Brucella Osteomyelitis  [PDF]
Hakan Cift, Krishna Reddy, Esat Uygur, Salih S?ylemez, Serkan ?enol4, Korhan Ozkan, Maria Silvia Spinelli, Abdullah Eren
Open Journal of Orthopedics (OJO) , 2013, DOI: 10.4236/ojo.2013.31005
Abstract:

Introduction: Although Brucellosis has a limited geographic distribution; it remains a challenge in certain parts of the world such as in Mediterranean, western Asian, Latin American and African regions. We present a unique case of periacetabular Brucella osteomyelitis and increase awareness of possible widespread distrubition of Brucella osteomyelitis and its ability to affect any region of the musculoskeletal system. Case Presentation: A 44-year-old male farmer presented with symptoms of pain radiating from his left hip to his thigh of five years duration. There was a history of night sweats and fever for the past two months. A lytic area with smooth borders in left periacetabular region was detected on pelvic roentgenography of the patient. Magnetic resonance imaging revealed a cavitatory lesion in relation to hip joint. Open biopsy was undertaken with the differential diagnosis of an infectious (Brucella or Tuberculous) or tumoral lesion. Intraoperative frozen sections showed granulomatous inflammatory tissue. Post debridement, the cavity was filled with autograft taken from the patient’s right iliac wing. Postoperative immunohistochemistry confirmed diagnosis of Brucella osteomyelitis. Oral Doxycyline, Rifampicine and Ciprofloxacin were administered for 3 months. At one-year postoperatively, the patient had a painless, unrestricted range of motion and function in relation to the affected hip. Conclusion: In endemic regions, Brucella osteomyelitis should be considered in differential diagnosis in patients with arthralgia and/or spondylodiscitis in the presence of radiologically suspected osseous lesions.

Tratamento das fraturas da pelve e acetábulo pela via de Stoppa modificada
Balbachevsky, Daniel;Pires, Robinson Esteves Santos;Faloppa, Flávio;Reis, Fernando Baldy dos;
Acta Ortopédica Brasileira , 2006, DOI: 10.1590/S1413-78522006000400002
Abstract: this study describes the modified stoppa access port for treating fractures on pelvic anterior region and fractures affecting the acetabulum anterior column. in this access port, a suprapubic cross-sectioned incision is performed on skin, longitudinal opening of the abdominal rectus muscle with lateral displacement of venters, and subperiosteal bone dissection through the medial surface of the hemipelvis addressed, so that implant materials can be placed on that inner surface. this access port, little used in our area, presents advantages over the traditional ports, such as the ilioinguinal and iliofemoral, due to the potential for a smaller surgical wound and soft parts dissection, enabling implants to be placed directly on quadrilateral layer, achieving a stable fixation and reducing the risks of infection and injuries to neurovascular structures. as a result of current literature and of the experience of the authors with the use of that access port, we can conclude that it is a good alternative for accessing those fractures.
O uso de enxerto homólogo na revis?o de artroplastias do quadril com cimenta??o do componente acetabular
Devito, Fábio Stuchi;Aristides, Rudelli Sergio Andrea;Honda, Emerson Kiyoshi;Chueire, Alceu Gomes;
Acta Ortopédica Brasileira , 2006, DOI: 10.1590/S1413-78522006000500011
Abstract: hip total arthroplasty represents a breakthrough in the treatment of orthopaedic illnesses affecting the hip. the aseptic loosening of this prosthesis may cause injuries and bone losses, representing a great challenge for the surgical reconstruction of those arthroplasties. one alternative to reconstruction is the use of bone graft sourced by bone bases, which may be used as a block or in pieces. this study, based on a literature review addressing bone grafts, had as an objective to analyze reconstruction with grafts in blocks and in pieces and its union. the graft in pieces showed better results concerning union when reconstruction stability is achieved. when a good stability cannot be achieved, the graft in block combined with reinforcement rings is highlighted as the best option.
Análise epidemiológica das fraturas acetabulares
Maia, Maurício Silveira;Santos, Denise Cristina Montecchio;Queiroga, Daniel Magalh?es de;Castro, Claydson de Oliveira;Silva, Rebeca Macedo Fraga e;Reis, Aliny Cristine Brito;Ducatti, Aline Cristina;
Revista Brasileira de Ortopedia , 2011, DOI: 10.1590/S0102-36162011000100004
Abstract: this aim of this work was to carry out an epidemiological study on acetabular fractures in the city of campinas and surrounds, in view of the few published papers on this subject. medical files with a diagnosis of acetabular fracture between the years 2004 and 2008 that were made available by the medical archiving service of hospital das clínicas, state university of campinas (unicamp) were analyzed by six observers. data on patients' ages, sex, side affected by the fracture, mechanism of injury, material used for synthesis, complications of the operation, associated fractures, length of hospitalization before and after the surgery, time of total internment and number of physiotherapy sessions before and after the surgery were gathered. it was observed in this population that the left side was more affected; the mechanism of injury that most often caused this type of fracture was automobile accidents; injuries to the sciatic nerve were the commonest surgical complications; and the synthesis material most used was reconstruction plates.
ESTUDIO MORFOLOGICO DEL ACETABULO HUMANO: BIOMETRIA
Luna,M. P.; Desnoyers,V.; Charissoux,J. L.; Mabit,C.; Arnaud,J. P.;
Revista chilena de anatomía , 1998, DOI: 10.4067/S0716-98681998000100001
Abstract: the anatomic study of the acetabulum is made to help the resolution of the mechanical loss problem of the cotyle in the total replacement of the hip. heigh, ant post diameter, depth, the distance between the horns of the articulated half -moon and the distance between the real vertex of the acetabulum and the vertex of the issosceles triangle, which base is the distance between the two horns, were measured in 150 acetabulum. it has been proved that the acetabulum is not hemispheric, but ogival. there exists a predominance of heigh upon the ant post diameter of 5,86 mm, ring level average, that is related to charges transmission. it is shown that the distance between the real vertex of the acetabulum and the vertex of the issosceles triangle, which joins the two horns of the articulated half-moon, is 24,3 mm average. this constitutes the elasticity zone in the moment of the charges transmission
Clasificación de las fracturas del acetábulo
álvarez López,Alejandro; García Lorenzo,Yenima; Casanova Morote,Carlos;
Revista Cubana de Ortopedia y Traumatolog?-a , 2006,
Abstract: an updated bibliographic review on the classification of acetabulum fractures was made. there were analysed important aspects of the international classification that divides these fractures into partially articular, with affection of one or both columns, and complex articular that specify all the variants in every case. letournel's classification and marvin tile's proposal were described.
Surgical correction of hip joint at dysplasia: history of development and present state of the problem (bibliography)
A.B. Petrov,I.D. Kovalyova,V.I. Ruzanov
Saratov Journal of Medical Scientific Research , 2010,
Abstract: Analytical review of scientific medical and patent information dealing with surgical correction of dysplastic hip joint components has been made. Retrospective analysis of the given problem development has been carried out. Modern methods of surgery on bony structures of the dysplastic hip joint have been studied in details. The main following directions of the acetabulum surgical correction have been marked out: formation of bony rests, variants of pelvic osteotomy, operations of joint surface curvature changing (acetabuloplasty). Methods with the use of materials exceeding bony tissue in solidity (metal, ceramics) have been studied separately. Expediency of further improvemement of methods for dysplastic coxarthrosis surgical prevention by removal of biomechanical imbalance in the hip joint has been demonstrated
ESTUDIO MORFOLOGICO DEL ACETABULO HUMANO: BIOMETRIA MORFOLOGICAL STUDY OF THE HUMAN ACETABULUM: BIOMETRY
M. P. Luna,V. Desnoyers,J. L. Charissoux,C. Mabit
Revista chilena de anatomía , 1998,
Abstract: The anatomic study of the acetabulum is made to help the resolution of the mechanical loss problem of the cotyle in the total replacement of the hip. Heigh, ant post diameter, depth, the distance between the horns of the articulated half -moon and the distance between the real vertex of the acetabulum and the vertex of the issosceles triangle, which base is the distance between the two horns, were measured in 150 acetabulum. It has been proved that the acetabulum is not hemispheric, but ogival. There exists a predominance of heigh upon the ant post diameter of 5,86 mm, ring level average, that is related to charges transmission. It is shown that the distance between the real vertex of the acetabulum and the vertex of the issosceles triangle, which joins the two horns of the articulated half-moon, is 24,3 mm average. This constitutes the elasticity zone in the moment of the charges transmission
Surgical treatment of displaced acetabular fractures
Milenkovi? Sa?a,Saveski Jordan,Radenkovi? Mile,Vidi? Goran
Srpski Arhiv za Celokupno Lekarstvo , 2011, DOI: 10.2298/sarh1108496m
Abstract: Introduction. Acetabular fractures are severe injuries, generally caused by high-energy trauma, most frequently from traffic accidents or falls from heights. Fractures of the extremities, head injuries, chest, abdomen and pelvic ring injuries are most commonly associated injuries. Objective. The purpose of this study was to evaluate the results of open reduction and internal fixation of acetabular fractures. The open anatomical reduction of the articular surface combined with a rigid internal fixation and early mobilisation have become the standard treatment of these injuries. Methods. We conducted a retrospective analysis of 22 patients of average age 43.13 years. The patients were treated by open reduction and internal fixation at the Orthopaedic Clinic of Ni from 2005-2009. The follow-up was 12 to 60 months, with the average of 21.18 months after surgery. Results. All injured patients were operated on between 4 and 11 days (5.7 days on the average). According to the classification by Judet and Letournel, 15 (68.18%) patients had an elementary acetabular fracture, whereas 7 (31.82%) patients had associated fracture. A satisfactory postoperative reduction implying less than 2 mm of displacement was achieved in 19 (86.36%) patients. The radiological status of the hip joint, determined according to Matta score, was excellent in 15 (68.18%) patients, good in 4 (18.18%) patients and moderate in 3 (13.63%) patients. According to Merle d’Aubigné Scale, the final functional results of the treatment of all operated patients were excellent in 12 (54.54%) patients, good in 7 (31.81%) patients and moderate in 3 (13.63%) patients. Conclusion. Surgical treatment of dislocated acetabular fractures requires an open reduction and a stable internal fixation. Excellent and good results can be expected only if anatomical reduction and stable internal fixation are achieved.
Treatment of acetabular fractures
Amaravati Rajkumar,Phaneesha M,Rajagopal H,Reddy Rajendra
Indian Journal of Orthopaedics , 2005,
Abstract: Background: Acetabular fractures are difficult to manage. There are advocates of closed methods as well as surgical methods of treating acetabular fractures. But controversy still exist as to which is the best way of treatment. Methods: We have evaluated from 1995 to 2000, 68 cases of acetabular fractures. Twenty two cases were managed surgically and 46 cases were managed non-operatively. The cases were followed up for a period ranging from 12 to 78 months (Avg. 36 months). Results: The results of the treatment were assessed using the scoring system of Matta. In the non-surgically managed group congruent reduction was achieved in 36 cases and good to excellent functional results were achieved in 30 cases. In the surgically managed group congruent reduction was achieved in 18 cases and good to excellent functional results were achieved in 12 cases. In 32 cases early or late complications were seen. Conclusion: Even if the prognosis for the restoration of normal joint function is not good, the restoration of normal anatomy will improve the results of future reconstructive procedures.
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