Acetabular fractures in children and adolescents.
A retrospective study of 23 acetabular fractures in patients up to 17 years of age is presented, with an average follow-up of eight years. Good or excellent functional results were achieved in 21 patients; radiographic results were good or excellent in 16. Conservative treatment gave consistently good results in fractures with minimal initial displacement, stable posterior fracture-dislocations and Salter-Harris type 1 and 2 triradiate cartilage fractures. Less favourable results were seen in type 5 triradiate cartilage fractures and in comminuted fractures, but operation was no better. Unstable posterior fracture-dislocations and irreducible central fracture-dislocations need operative treatment but the results may still be unsatisfactory.
Heeg
M
M
Department of Traumatology, University Hospital Groningen, The Netherlands.
Klasen
H J
HJ
Visser
J D
JD
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006617:Hip Dislocation / Q000209:etiology; D006801:Humans; D008297:Male; D011859:Radiography; D012189:Retrospective Studies