Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient

Renal transplantation, performed per million population, ranges from 30 to 60 in developed countries. The transplanted kidney is generally placed in iliac fossa; therefore the treatment procedure of the pelvic trauma in these patients should be selected carefully. The gold standard technique for the...

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Main Authors: Halil Ceylan, Ozgur Selek, Ahmet Y. Sarlak
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/842390
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author Halil Ceylan
Ozgur Selek
Ahmet Y. Sarlak
author_facet Halil Ceylan
Ozgur Selek
Ahmet Y. Sarlak
author_sort Halil Ceylan
collection DOAJ
description Renal transplantation, performed per million population, ranges from 30 to 60 in developed countries. The transplanted kidney is generally placed in iliac fossa; therefore the treatment procedure of the pelvic trauma in these patients should be selected carefully. The gold standard technique for the treatment of displaced acetabulum fractures is open reduction and internal fixation. Our patient had received a living-related-donor renal transplant due to chronic renal failure. In the second year of transplantation, she had been injured in a motor-vehicle accident, and radiographs showed a right acetabular anterior column fracture and left pubic rami fractures. The patient was treated with percutaneous fixation techniques and at one year of postoperative period there was no evidence of degenerative signs and the clinical outcome was good. Beside having the advantage of avoiding dissection through the iliac fossa by the standard ilioinguinal approach, percutaneous techniques, with shorter surgical time, decreasing soft tissue disruption, and the potential for early discharge from hospital might be ideal for a renal transplant recipient carrying a higher risk of infection. Percutaneous fixation of selected acetabular fractures in a renal transplant recipient would presumably have the potential to decrease the morbidity associated with traditional open surgical procedures.
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spelling doaj-art-0d36fef8149f481d9b16a4287f7a77342025-02-03T06:11:31ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/842390842390Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant RecipientHalil Ceylan0Ozgur Selek1Ahmet Y. Sarlak2Department of Orthopaedics and Traumatology, Van İpekyolu State Hospital, 65100 Van, TurkeyDepartment of Orthopaedics and Traumatology, Kocaeli University School of Medicine, Umuttepe, 41380 Kocaeli, TurkeyDepartment of Orthopaedics and Traumatology, Kocaeli University School of Medicine, Umuttepe, 41380 Kocaeli, TurkeyRenal transplantation, performed per million population, ranges from 30 to 60 in developed countries. The transplanted kidney is generally placed in iliac fossa; therefore the treatment procedure of the pelvic trauma in these patients should be selected carefully. The gold standard technique for the treatment of displaced acetabulum fractures is open reduction and internal fixation. Our patient had received a living-related-donor renal transplant due to chronic renal failure. In the second year of transplantation, she had been injured in a motor-vehicle accident, and radiographs showed a right acetabular anterior column fracture and left pubic rami fractures. The patient was treated with percutaneous fixation techniques and at one year of postoperative period there was no evidence of degenerative signs and the clinical outcome was good. Beside having the advantage of avoiding dissection through the iliac fossa by the standard ilioinguinal approach, percutaneous techniques, with shorter surgical time, decreasing soft tissue disruption, and the potential for early discharge from hospital might be ideal for a renal transplant recipient carrying a higher risk of infection. Percutaneous fixation of selected acetabular fractures in a renal transplant recipient would presumably have the potential to decrease the morbidity associated with traditional open surgical procedures.http://dx.doi.org/10.1155/2013/842390
spellingShingle Halil Ceylan
Ozgur Selek
Ahmet Y. Sarlak
Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient
Case Reports in Orthopedics
title Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient
title_full Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient
title_fullStr Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient
title_full_unstemmed Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient
title_short Percutaneous Fixation of Anterior Column Acetabular Fracture in a Renal Transplant Recipient
title_sort percutaneous fixation of anterior column acetabular fracture in a renal transplant recipient
url http://dx.doi.org/10.1155/2013/842390
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AT ozgurselek percutaneousfixationofanteriorcolumnacetabularfractureinarenaltransplantrecipient
AT ahmetysarlak percutaneousfixationofanteriorcolumnacetabularfractureinarenaltransplantrecipient