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Complications following the "T extensile" approach : a modified extensile approach for acetabular fracture surgery - report of forty-three patients
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Starr, A. J., Watson, J. T., Reinert, C. M., Jones, A. L., Whitlock, S., Griffin, Damian R. and Borer, D. S. (2002) Complications following the "T extensile" approach : a modified extensile approach for acetabular fracture surgery - report of forty-three patients. Journal of Orthopaedic Trauma, 16 (8). 535- 542. doi:10.1097/00005131-200209000-00001 ISSN 0890-5339.
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Official URL: https://doi.org/10.1097/00005131-200209000-00001
Abstract
Objective: Analyze the prevalence and severity of surgical complications encountered with a modified extended iliofemoral approach, the "T extensile" approach, in the treatment of complex acetabular fractures Study Design: Prospective. Methods: During a sixteen-month study period, forty-three patients with complex acetabular fractures were treated via the T extensile approach. Perioperative antibiotics were used to prevent infection, and prophylaxis for heterotopic ossification was done with postoperative irradiation. Complications and clinical results were recorded. The patients were followed for an average of thirty months. Results: Acceptable reductions were obtained in forty patients. Poor reductions were obtained in three patients. There were no infections or iatrogenic nerve injuries. Brooker Grade 1 heterotopic ossification was seen in nineteen patients, eight had Grade 2, two had Grade 3, and no heterotopic ossification was seen in the other fourteen patients. No patient who received radiation developed heterotopic ossification beyond Brooker Grade 2. Seven patients went on to require total hip arthroplasty. The remaining thirty-six patients had an average Harris Hip Score of 86. Conclusions: Extensile exposures to the acetabulum can be safely carried out with limited morbidity, as long as appropriate steps are taken to limit predictable complications.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Journal of Orthopaedic Trauma | ||||||
| Publisher: | Lippincott Williams & Wilkins | ||||||
| ISSN: | 0890-5339 | ||||||
| Official Date: | 2002 | ||||||
| Dates: |
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| Volume: | 16 | ||||||
| Number: | 8 | ||||||
| Page Range: | 535- 542 | ||||||
| DOI: | 10.1097/00005131-200209000-00001 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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