FRACTURES OF THE POSTERIOR WALL OF THE ACETABULUM ; ПЕРЕЛОМЫ ЗАДНЕЙ СТЕНКИ ВЕРТЛУЖНОЙ ВПАДИНЫ

Acetabular fractures do not pose a serious threat to life, but cause severe pathology of the hip joint. Acetabular trauma is a component of polytrauma and is accompanied by injuries, the treatment of which is a priority for emergency indications. For these reasons, the final reduction of the acetabulum is delayed, reducing the likelihood of a favorable outcome.Objective − to determine the frequency and nature of damage to the posterior wall of the acetabulum, to assess hospital mortality, the number of complications and anatomical and functional results in conservative and surgical treatment.Material and methods. For 10 years, 386 patients with acetabular fractures have been treated. Fractures of the posterior wall were noted in 137, of which 59 patients were treated conservatively, and 78 were surgically treated.Results and discussion. Hospital mortality of patients with acetabular fractures did not depend on the method of treatment. Somatic complications were observed in 50 patients and were more common with conservative treatment. Long-term results were studied in 88 patients. In most cases, good and satisfactory results prevailed (86.4 %). The number of good results with surgical treatment was 1.8 times more, and unsatisfactory 2.1 times less than with conservative treatment.Conclusion. Fractures of the acetabulum are the result of high-energy impacts. Of these, posterior wall fractures are the most common. The use of internal osteosynthesis contributed to a decrease in the number of somatic complications and an increase in the number of good long-term results of treatment. ; Переломы вертлужной впадины не представляют серьезной угрозы для жизни, но служат причиной тяжелой патологии тазобедренного сустава. Травма вертлужной впадины является компонентом политравмы и сопровождается повреждениями, лечение которых приоритетно по экстренным показаниям. По этим причинам окончательная репозиция вертлужной впадины откладывается, уменьшая вероятность благоприятного исхода.Цель исследования — выяснить частоту, ...