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The CT scans were first assessed in 2D and then in a second time using 2D and 3D reconstructions of the acetabulum without including the femoral head. 3D reconstructions improved the correct classification not only for the radioologist but also for senior radiologist and orthopaedist. Complex fracture diagnosis was also more effective when compared to simple fractures, and 3D reconstructions have also significantly improved the diagnoses of complex fractures. Conclusions 3D reconstructions have improved the routine diagnosis of acetabular fractures, particularly for junior radiologist or in cases of complex fractures.
Source link: https://doi.org/10.1007/s10140-022-02068-8
In the perioperative period, patients with pelvic and acetabular fractures can often have severe pain in the perioperative period. However, the true-world effect of these modalities on inpatient opioid use and outpatient opioid demand is still unclear. The purpose of this research was to determine the effect of perioperative RA on inpatient opioid intake and outpatient opioid demand. Methods This is a retrospective, observational investigation of inpatient opioid use and outpatient opioid demand in all patients aged 18 and older undergoing operative fixation of pelvic and acetabular fractures at a single Level, I trauma center from 7/1/2013 to 2018. Patients with RA : Results adjusted models showed rises in inpatient opioid consumption in patients with RA. Patients with RA at discharge were significantly higher in patients with RA at 90 days post-op compared to 90 days post-op.
Source link: https://doi.org/10.1007/s00590-021-03114-w
Background Various plate shapes and implant configurations are used for stabilization of acetabulum fractures via anterior approaches. In a single-leg stance loading model, this research investigated the difference between JP's biomechanical stability with 3DP and 3DP, as well as the role of an IACS in a standardized acetabular fracture model. Methods An artificial bone substitute pelvis model was created with osteotomy jigs, resulting in a common and standardized fracture pattern. Augmentation of JP by IACS lifted the quality of the system to a level that 3DP alone, up to 3DP level alone, although the 3DP upgrade did not result in a rise in overall stability. Conclusion The anatomically shaped plate alone provides superior biomechanical stability in the fixation of an anterior column and posterior hemi-transverse fracture model. The requirement of a clinically hazardous application of IACS may be avoided by using the anatomically shaped 3DP.
Source link: https://doi.org/10.1007/s00068-021-01805-x
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