Experienţa noastră în tratamentul chirurgical al fracturilor de cotil.
Închide
Conţinutul numărului revistei
Articolul precedent
Articolul urmator
39 0
SM ISO690:2012
GORNEA, Filip; CROITOR, Petru; CROITOR, Gheorghe; BULDUMAC, Vladimir; ZLATIN, P.; STAVINSCHII, I.; BUNESCU, Vasilii; HÎNCOTA, Dumitru. Experienţa noastră în tratamentul chirurgical al fracturilor de cotil.. In: Sănătate Publică, Economie şi Management în Medicină . 2012, nr. 3(42), pp. 118-120. ISSN 1729-8687.
EXPORT metadate:
Google Scholar
Crossref
CERIF
BibTeX
DataCite
Dublin Core
Sănătate Publică, Economie şi Management în Medicină
Numărul 3(42) / 2012 / ISSN 1729-8687

Experienţa noastră în tratamentul chirurgical al fracturilor de cotil.

Our experience in the surgical treatment of acetabulum fractures

Наш опыт хирургического лечения переломов вертлужной впадины


Pag. 118-120

Gornea Filip, Croitor Petru, Croitor Gheorghe, Buldumac Vladimir, Zlatin P., Stavinschii I., Bunescu Vasilii, Hîncota Dumitru
 
Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“
 
Disponibil în IBN: 19 mai 2020


Rezumat

Fractures of acetabulum are considered unstudied very well so far, with an unfavorable prognosis and increased frequency lately. Men are more frequently affected – age group between 20-40 years. Injuries associated with fractures of the acetabulum are from 40% to 44.8%, traumatic shock of different grades up to 59.7% of cases. Despite progress in the treatment of these fractures, the overall bad consequences are high – osteonecrosis and osteoarthritis being 44% after conservativ treatment and 22.2% after surgery, heterotopic ossifi cation is developing between 14 to 50% of cases, and sciatic nerve injure constituting 10-15% as a result of primary injury and 2-6% are iatrogenic - after Kocher-Langenbeck approach.

Переломы вертлужной впадины считаются среди переломов не до конца изученных, с неблагоприятным прогнозом и которые в последние десятилетия участились особенно среди молодых (20-40 лет) мужчин. Сочетанные повреждения при переломах вертлужной впадины составляют 40-45%, травматический шок регистрируется в 59,7% таких случаев. Несмотря на явные успехи в лечении этих больных, доля последствий этих травм еще высока: коксартроз и асептический некроз головки бедра до 44% после консервативного лечения и 22,2% после хирургического лечения, развитие параартикулярных осификатов в 14-50% случаев