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, Deuxième exemple à « safe zone
, Vue antérieure du bassin d'une patiente de 30 ans présentant une fracture de la colonne antérieure avec trait hémi-transversal postérieur. Le trait de fracture de la colonne antérieure se situe au niveau de la « safe zone
, Le vissage APCS est donc théoriquement déconseillé chez cette patiente
, Concernant les paramètres per-opératoires, le temps chirurgical moyen est de, vol.146, p.3
, APCS et 135,1 minutes dans le groupe contrôle. Il n'existe pas de différence statistiquement significative entre les deux groupes
, Concernant l'irradiation reçue par le patient lors de la chirurgie, elle est en moyenne de 114,8 cGy.cm -² pour le groupe APCS et de 39,8 cGy
, La différence d'irradiation entre les deux groupes est statistiquement significative
y a eu aucune indication de pose de PTH pour coxarthrose post-traumatique. L'analyse d'une éventuelle coxarthrose était réalisée sur des radiographies du bassin de face. 60,9% des patients ne présentent aucun signe de coxarthrose, vol.30 ,
PTH ont été posées pour une coxarthrose post-traumatique (p=0.031) avec un délai moyen de 12,9 mois post-ostéosynthèse. 25 (55,6%) patients ne présentent aucune coxarthrose, 8 (17,8%) une coxarthrose de stade 1, vol.8 ,
, Il n'existe pas de différence statistique concernant la présence d'une coxarthrose dans les deux groupes, p.0
, Stade 1 : Condensation sous chondrale et pincement articulaire minimes Stade 2 : Condensation sous chondrale modérée, géodes et pincement articulaire modéré Stade 3 : Coxarthrose avancée avec ostéophytose
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