TY - DATA T1 - ASSOCIATED POSTERIOR PELVIC INJURY PATTERNS IN TRANSVERSE-ORIENTED ACETABULAR FRACTURE PY - 2017/12/05 AU - Ozgur Selek AU - Tuncay Baran AU - Umit Gok AU - Halil Ceylan AU - Ahmet Yilmaz Sarlak UR - https://scielo.figshare.com/articles/dataset/ASSOCIATED_POSTERIOR_PELVIC_INJURY_PATTERNS_IN_TRANSVERSE-ORIENTED_ACETABULAR_FRACTURE/5670655 DO - 10.6084/m9.figshare.5670655.v1 L4 - https://ndownloader.figshare.com/files/9912661 L4 - https://ndownloader.figshare.com/files/9912664 L4 - https://ndownloader.figshare.com/files/9912667 L4 - https://ndownloader.figshare.com/files/9912670 L4 - https://ndownloader.figshare.com/files/9912673 L4 - https://ndownloader.figshare.com/files/9912679 KW - Acetabulum KW - Fractures, bone KW - Pelvic bones KW - Fracture fixation internal. N2 - ABSTRACT Objective: Our study analyzed the incidence of posterior pelvic injury patterns and their influence on the surgical treatment of transverse-oriented acetabular fractures . Methods: Fifty-one transverse-oriented acetabular fracture cases admitted between 1999 and 2013 were evaluated retrospectively. Comparative studies were performed for groups organized by acetabular fracture type, degree of sacroiliac separation, and postoperative reduction quality . Results: Associated posterior pelvic injuries were found in 34 (66.7%) of the 51 patients. There were 32 sacroiliac separations in the 34 patients with associated posterior pelvic injury, and ipsilateral sacroiliac separations were more frequent in this subgroup. Measurements guided by computerized tomography showed that 16 sacroiliac separations were ≤0.5 cm (mean=0.43±0.14 cm), 10 were 0.5-1 cm (mean=0.73±0.17 cm), and the remaining 6 were >1 cm (mean=1.55±0.15 cm). In the group of 34 patients with associated posterior pelvic injury, acetabular reduction was anatomic in 19 (55.9%) patients, imperfect in 10 (29.4%) patients, and poor in 5 (14.7%) patients. For isolated acetabular fractures, reduction rates were as follows: 12 (70.6%) anatomic, 3 (17.6%) imperfect, and 2 (11.8%) poor. The rate of anatomic reduction was significantly higher when sacroiliac separation was ≤0.5 cm (p=0.027) . Conclusion: Associated posterior pelvic injuries, especially ipsilateral sacroiliac joint separation, accompany most transverse-oriented acetabular fractures and may influence the quality of acetabular reduction. Level of Evidence III, Therapeutic Studies Investigating the Results of Treatment. ER -