Long-Term Outcome of Conservatively Managed Displaced Acetabular Fractures

2009 ◽  
Vol 67 (1) ◽  
pp. 155-159 ◽  
Author(s):  
Ramesh K. Sen ◽  
Lokesh A. Veerappa
Keyword(s):  
Acetabular Fractures ◽  
Term Outcome ◽  
Long Term Outcome

Patients undergoing surgical hip dislocation for the treatment of acetabular fractures show favourable long-term outcome

2017 ◽  
Vol 99-B (4) ◽  
pp. 508-515 ◽  
Author(s):  
P. C. Haefeli ◽  
G. S. Marecek ◽  
M. J. B. Keel ◽  
K. A. Siebenrock ◽  
M. Tannast
Keyword(s):  
Hip Dislocation ◽  
Acetabular Fractures ◽  
Surgical Hip Dislocation ◽  
Term Outcome ◽  
Long Term Outcome

Management and long-term outcome of pelvic fractures: a retrospective study of 43 cats

2016 ◽  
Vol 19 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Richard L Meeson ◽  
Alex T Geddes
Keyword(s):  
Complication Rate ◽  
Pelvic Fractures ◽  
Neurological Deficits ◽  
Acetabular Fractures ◽  
Clear Correlation ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Canal Width

Objectives The aim of the study was to evaluate the management and long-term outcome of cats with pelvic fractures. Methods Cats with pelvic fractures had their records and radiographs reviewed. Radiographs were reviewed for fracture configuration, implants and pelvic canal narrowing. Owners were contacted for long-term follow-up. Results Forty-three cats met the criteria (mean follow-up 24 months [range 6–45 months]). The majority (93%) had more than one orthopaedic pelvic injury, with sacroiliac fracture luxations seen most commonly; 23% had presurgical neurological deficits. Most cats (74%) were managed surgically; 60% of sacroiliac fracture luxations, 82% of ilial fractures and 50% of acetabular fractures received surgery. The complication rate was 22%, most commonly sciatic neurapraxia (13%). Seventy-nine percent of all neurological deficits resolved and the remainder improved. Mean pelvic canal narrowing after trauma was −15% in surgical and −16% in conservatively managed cats. Canal width was improved postoperatively (–8%) but mildly narrowed further by follow-up (–12%); however, these changes were not significant. Nineteen percent of cats had constipation postsurgery; none developed megacolon. There was no clear correlation between the degree of narrowing of the pelvic canal up to −50%, or whether conservative treatment was opted for, and the development of constipation. Long-term mobility was not impaired in 86% of cats, and 84% did not have any lameness detectable. Conclusions and relevance The majority of cats were managed surgically, with a 22% complication rate; the most common being transient sciatic neurapraxia. Long-term outcome was generally excellent and most had a full recovery. Constipation/obstipation was very uncommon and no clear relationship with pelvic canal narrowing could be found when considering narrowing of up to −50% in both surgical and conservative groups. As no cats in this cohort had narrowing greater than −50%, the current recommendation of surgery to improve the canal width if narrowing is greater than −45% to −50% should remain.

Management and Long-Term Outcome of Acetabular Fractures in Dogs: A Retrospective Study of 49 Dogs

2021 ◽  
Author(s):  
Victoria J. Roberts ◽  
Kevin Parsons ◽  
David Sajik ◽  
Richard L. Meeson
Keyword(s):  
Conservative Management ◽  
Brief Pain Inventory ◽  
Neurological Deficits ◽  
Acetabular Fractures ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Factors Affecting ◽  
Fracture Location ◽  
Long Term Follow Up

Abstract Objective The aim of this study was to categorize the presentation, management, complications and long-term outcome of canine acetabular fractures, and to determine the factors affecting outcome. Materials and Methods Case records and imaging for dogs with acetabular fractures were reviewed with long-term follow-up via canine brief pain inventory (CBPI) and owner questionnaires. Results The majority of fractures were in the mid-third (36/52) and caudal-third (13/52) with few in the cranial-third of the acetabulum (3/52). Concurrent injuries were diagnosed in 47/49 dogs; 10/34 dogs had neurological deficits on presentation. Forty-seven fractures received treatment: 25/47 had direct surgical repair (DSR), 10/47 had salvage surgery (SS) and 12/47 had conservative management (CM). Fracture location significantly affected treatment group (p = 0.001). New neurological deficits were documented after DSR in 5/24 dogs and SS in 2/10 dogs. Short-term complications occurred after DSR in 10/18 dogs (five minor, five major) and CM in 1/8 dogs (major). Long-term complications occurred after DSR in 2/15 dogs (major) and CM in 2/7 dogs (catastrophic). Conservative management dogs had worse average owner-reported CBPI scores than DSR or SS dogs. Clinical Significance Acetabular fractures predominate in the mid and caudal acetabulum, with high levels of concurrent injuries. Fracture location significantly influenced the treatment approach taken. Postoperative neurological deficits are common following SS and DSR.

Long-term outcome of treatment with cyclosporine IV for patients with intractable ulcerative colitis

2001 ◽  
Vol 120 (5) ◽  
pp. A624-A624 ◽  
Author(s):  
J ARTS ◽  
M ZEEGERS ◽  
G DHAENS ◽  
G VANASSCHE ◽  
M HIELE ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Term Outcome ◽  
Long Term Outcome

1519: Long Term Outcome of Interstitial Laser Coagulation for Benign Prostatic Hyperplasia

2006 ◽  
Vol 175 (4S) ◽  
pp. 490-490
Author(s):  
Stefan Zastrow ◽  
Sven Oehlschläger ◽  
Oliver W. Hakenberg ◽  
Steffen Leike ◽  
Manfred P. Wirth
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Prostatic Hyperplasia ◽  
Laser Coagulation ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Interstitial Laser
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