Experienţa noastră &icirc;n tratamentul chirurgical al fracturilor de cotil.

Gornea Filip; Croitor Petru; Croitor Gheorghe; Buldumac Vladimir; Zlatin P.; Stavinschii Iurie; Bunescu Vasilii; Hîncota Dumitru

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2023-04-13 21:23

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GORNEA, Filip, CROITOR, Petru, CROITOR, Gheorghe, BULDUMAC, Vladimir, ZLATIN, P., STAVINSCHII, Iurie, 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.

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Sănătate Publică, Economie şi Management în Medicină

Numărul 3(42) / 2012 / ISSN 1729-8687 /ISSNe 2587-3873

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 Iurie, Bunescu Vasilii, Hîncota Dumitru

Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“

Disponibil în IBN: 19 mai 2020

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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

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