Radiology outcome of gradual increase in skeletal traction in a acetabular fracture /

This study was designed to evaluate the effect of gradual increment of vector traction weight towards reducing displaced acetabular fracture preoperatively. This is a prospective study conducted at Hospital Tuanku Jaafar, Seremban between June 2016 until December 2017. A total of 21 patients were in...

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Bibliographic Details
Main Author: Mohd Shukri Omar (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2018
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Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
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040 |a UIAM  |b eng  |e rda 
041 |a eng 
043 |a a-my--- 
100 0 |a Mohd Shukri Omar,  |e author 
245 1 |a Radiology outcome of gradual increase in skeletal traction in a acetabular fracture /  |c by Mohd Shukri bin Omar 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2018 
300 |a x, 98 leaves :  |b colour illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
337 |2 rdamedia  |a unmediated 
337 |2 rdamedia  |a computer 
338 |2 rdacarrier  |a volume 
338 |2 rdacarrier  |a computer disc 
338 |2 rdacarrier  |a online resource 
347 |2 rdaft  |a text file  |b PDF 
500 |a Abstracts in English. 
500 |a "A dissertation submitted in fulfilment of the requirement for the degree of Master of Orthopaedic Surgery." --On title page. 
502 |a Thesis (MORTH)--International Islamic University Malaysia, 2018. 
504 |a Includes bibliographical references (leaves 64-66. 
520 |a This study was designed to evaluate the effect of gradual increment of vector traction weight towards reducing displaced acetabular fracture preoperatively. This is a prospective study conducted at Hospital Tuanku Jaafar, Seremban between June 2016 until December 2017. A total of 21 patients were included in the study. Patients were put on supracondylar and lateral traction in which reduction effects were assessed by serial radiographs. Displaced acetabular fracture was defined radiologically as displacement of both ileopectinial and ileoischial line of more than 2cm. Male gender predominant (82,1%) and majority caused by road traffic accident (75.0%). Majority are bicolumnar type (46.4%) followed by T-type acetabular fracture (25.0%). Reduction achieved in 18 cases. Traction weight ranges from 5% to 33.33% (median, 20%) of body weight required for fracture reduction. Only 4 (19%) require 10% or less body weight traction for reduction while majority require higher traction weight. 10 patients (47.6%) require between 16% to 24% body weight traction for fracture reduction. Median of 200gm/kg traction weight (range, 50gm to 333gm) are required for fracture reduction (p=0.740). All (57.14%) patients applied with traction within 7 days of trauma achieved reduction. Traction applied within 7 days of trauma significantly affect preoperative fracture reduction (p=0.025). Complication rate are 17.9% comprising of pain and pin-tract infection. Weight (p=0.687) and period of traction application (p=1.00) did not affect development of complications. Vector traction of around 20% body weight (200mg/kg) reduce displaced acetabular fracture preoperatively. Delay in traction application more than 7 days significantly affect preoperative fracture reduction. Abbreviation: acetabular fracture, complications, vector traction, preoperative traction, traction weight 
596 |a 1 6 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Orthopaedics,Traumatology & Rehabilitation  |z IIUM 
700 |a Aminudin Che Ahmad,  |e degree supervisor  
710 2 |a International Islamic University Malaysia.  |b Department of Orthopaedics,Traumatology & Rehabilitation 
856 4 |u http://studentrepo.iium.edu.my/handle/123456789/10064  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
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