Jorge Zyman Corenstein1, Antonio Martínez Del Campo Sánchez2. 1. Servicio de Ortopedia y Traumatología, Hospital Ángeles Lomas. Ciudad de México. México. 2. Unidad Médica de Alta Especialidad(UMAE) del Hospital de Traumatología y Ortopedia «Lomas Verdes», Instituto Mexicano del Seguro Social (IMSS). Naucalpan de Juárez, Méx. México.
Abstract
INTRODUCTION: Acetabular fractures are seen more frequently in emergency services, although compared to other fractures, they are quite rare injuries; it is of paramount importance the understanding and adequate knowledge for the orthopedic surgeons. Determining the prevalence of acetabulum fractures, as well as patient characteristics, injury mechanism and associated injuries; it will allow us to develop and improve the diagnostic and treatment strategies for these patients, as well as future therapeutic research in our hospital. MATERIAL AND METHODS: Transversal design, descriptive and retrospective. We reviewed cases with acetabulum fractures treated during November 1, 2012 to October 31, 2016. RESULTS: Most of the patients were men (75%). The most common types of fractures were posterior wall (22.3%), followed by both columns (19.0%). The mechanism of the lesion was different by gender, the automobile accident is 1.1 times more likely in women than in men, but the fall from three or more meters is 6.0 times more likely in men; instead, women are 1.9 times more likely to be hit and 2.0 times to fall from their supportive plane (p = 0.02). The fractures with the highest proportion of associated orthopedic injuries correspond first to those of anterior wall of which 80.0% had associated injuries. DISCUSSION: Our results are consistent with what is reported in the literature at the international level.
INTRODUCTION: Acetabular fractures are seen more frequently in emergency services, although compared to other fractures, they are quite rare injuries; it is of paramount importance the understanding and adequate knowledge for the orthopedic surgeons. Determining the prevalence of acetabulum fractures, as well as patient characteristics, injury mechanism and associated injuries; it will allow us to develop and improve the diagnostic and treatment strategies for these patients, as well as future therapeutic research in our hospital. MATERIAL AND METHODS: Transversal design, descriptive and retrospective. We reviewed cases with acetabulum fractures treated during November 1, 2012 to October 31, 2016. RESULTS: Most of the patients were men (75%). The most common types of fractures were posterior wall (22.3%), followed by both columns (19.0%). The mechanism of the lesion was different by gender, the automobile accident is 1.1 times more likely in women than in men, but the fall from three or more meters is 6.0 times more likely in men; instead, women are 1.9 times more likely to be hit and 2.0 times to fall from their supportive plane (p = 0.02). The fractures with the highest proportion of associated orthopedic injuries correspond first to those of anterior wall of which 80.0% had associated injuries. DISCUSSION: Our results are consistent with what is reported in the literature at the international level.