• MeSH
• acetabulum zranění   MeSH
• artróza kyčelních kloubů diagnostické zobrazování   epidemiologie   etiologie   MeSH
• dospělí MeSH
• fixace fraktur metody   MeSH
• fraktury femuru chirurgie   klasifikace   MeSH
• lidé MeSH
• mnohočetné fraktury * diagnostické zobrazování   chirurgie   klasifikace   MeSH
• ortopedické výkony MeSH
• pánevní kosti zranění   MeSH
• pooperační komplikace epidemiologie   etiologie   MeSH
• vnitřní fixace fraktury MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH

Injury to the acetabular growth plate is rare. Accordingly, data on the incidence in the literature are controverse. Other difficulties include the clear definition of a pediatrie acetabular injury. The modified classification according to Salter-Harris described by Bucholz is used in immature patients. The majority of these injuries can be treated conservatively. In severely displaced injuries or in the presence of intra-articular pathologies open procedures are recommended. The main long-term complication is the development of posttraumatic acetabular dysplasia which should be early detected by regular check-ups until the completion of growth. Overall, the long-term results are satisfactory.

• MeSH
• acetabulum * patologie   radiografie   zranění   MeSH
• artróza kyčelních kloubů * epidemiologie   etiologie   MeSH
• dítě MeSH
• fraktury kyčle * klasifikace   radiografie   terapie   MeSH
• lidé MeSH
• pánevní kosti * patologie   radiografie   zranění   MeSH
• vnitřní fixace fraktury * metody   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• přehledy MeSH

PURPOUSE OF THE STUDY Associated transverse and posterior wall fractures account for approximately 20% of all acetabular fractures. To asses the risk of these concommitant bone injuries on early joint failure despite a high rate of postoperative congruency. MATERIAL The analysis of 104 surgically treated patients with associated transverse and posterior wall fractures showed that more than half of these patients had associated injuries. The mean age was 35 years, and > 75% of these patients were male. A high energy trauma was the trauma mechanism in 94.2%. The mean ISS was 26.3 points. The majority of patients showed a juxta- or transtectal fracture line. The mean articular fracture displacement was 13.5 mm. 87.5% of the patients showed a femoral head dislocation. An acetabular roof comminution was present in 16.3%. 20.2% of patients received a fracture related preoperative nerve injury to the sciatic nerve. METHODS Osteosynthesis was performed 9.9 days after trauma. The Kocher-Langenbeck approach was used in > 90% for stabilization with a combination of plate and screw fixation in 71.1%. The mean operative time was 190 minutes with a blood loss of 855 ml. Postoperatively the hip joint was congruent in 90.3% with anatomical or near-anatomical joint reconstruction in > 90%. latrogenic nerve injury occurred in 12 patients (8.9%). RESULTS 67 patients (67.7%) could be followed after a mean of 42.7 months. The average subjective Visual Analog Scale pain score was 42.7. Mild or no pain was seen in 58.2%. The mean Merle d'Aubigne score was 15.4 with 56.7% of patients having a functionally perfect or good result. 52.2% had no post-traumatic osteoarthritic changes of their hip joint. A joint failure was diagnosed in 32.8% of the patients. Analyzing only patients with anatomically reconstructed hip joints, patients showed comparable results with 61.3% having no or mild pain and 59.2% a good or excellent functional result. Posttraumatic arthrotic changes occur in only 26.5% of these patients. A joint failure was present in 32.7%. In this group, a joint failure was significantly more likely to be present with an additional acetabular comminution zone. CONCLUSION Associated transverse and posterior

• MeSH
• acetabulum * patologie   radiografie   zranění   MeSH
• artróza kyčelních kloubů epidemiologie   etiologie   MeSH
• dospělí MeSH
• fraktury kyčle * chirurgie   klasifikace   radiografie   MeSH
• intramedulární fixace fraktury * metody   MeSH
• lidé MeSH
• pánevní kosti * patologie   radiografie   zranění   MeSH
• polytrauma epidemiologie   etiologie   MeSH
• pooperační komplikace * epidemiologie   etiologie   MeSH
• skóre závažnosti úrazu MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH

• MeSH
• artróza kyčelních kloubů epidemiologie   radiografie   terapie   MeSH
• bolest farmakoterapie   MeSH
• cvičení MeSH
• komise odborníků MeSH
• lidé MeSH
• medicína založená na důkazech MeSH
• ortopedické výkony MeSH
• paracetamol aplikace a dávkování   MeSH
• progrese nemoci MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• klinické zkoušky MeSH
• směrnice pro lékařskou praxi MeSH

• MeSH
• artróza kyčelních kloubů epidemiologie   chirurgie   MeSH
• lidé MeSH
• Check Tag
• lidé MeSH

• MeSH
• artróza kyčelních kloubů epidemiologie   MeSH
• incidence MeSH
• lidé MeSH
• Check Tag
• lidé MeSH