The History Akin To GUCY1B3
The outcome of this group was marginally better as compared to the neglected fractures in terms of mean HHS. The group (C) where cases had both the indications of Group A and B fared worst in terms of functional outcome. Eight cases with poor skin condition were operated in our series; four had a Morel-Lavall��e lesion, two had suprapubic catheter in situ due to urethral injury, one had an open fracture with wound opening into perineum, one had a bed sore. Two patients (25%) had infection, one had superficial infection managed by repeated dressings; other BKM120 molecular weight had deep one requiring surgical debridement. We neither went for immediate fixation of the fracture nor operative debridement of the Morel-Lavall��e lesion; instead waited for the soft tissues to heal after which surgical fixation was done.13 In cases with concomitant urethral injury it is recommended to do internal fixation of the fracture before doing a suprapubic this website cystostomy wherever possible. However in developing countries, due to delay in referrals a suprapubic cystostomy becomes imperative before fixation can be done. In both our cases a suprapubic catheter had been inserted before referral. We painted the abdomen and the catheter with an antiseptic solution the night before and tied the catheter to the trunk on the contralateral side in such cases (Fig.?3). The parts were then draped in a sterile manner; the drapes being opened in operating room only (see Fig. 4). GUCY1B3 One (out of two with suprapubic catheter in situ) patient thereafter had some serous superficial discharge from the incisional site; however the wound healed with repeated dressings and antibiotics. Although the literature reports the infection rate after surgical management of acetabular fractures to be around 4.4% which is conspicuously less as compared to the infection rate in this group4; we feel that operative reconstruction should be offered to such patients considering the poor results of conservative management. Fig.?3 Preoperative preparation in a patient with suprapubic catheter in situ. The catheter was tied to opposite side of trunk and the abdomen painted with povidone iodine the day before. Fig.?4 The preoperative draping effectively taking the catheter out of the surgical field. We compared the complication rate in this series with those reported in literature. The most common complication encountered by us was osteoarthritis of the hip either primarily due to incongruence or femoral head damage. Matta described the radiological results after acetabular fracture surgery into four types; a near normal appearance of the hip depicting excellent results, mild changes including moderate narrowing (
