eISSN: 1643-3750


Published: 2016-07-01

Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture

Zhenhai Hao, Dongsheng Zhou, Fu Wang, Lianxin Li, Jiliang He

(Department of Orthopedics, Affiliated Shandong Provincial Hospital of Shandong University, Jinan, Shandong, China (mainland))

Med Sci Monit 2016; 22:2295-2300

DOI: 10.12659/MSM.896760

BACKGROUND: The aim of this study was to explore the efficacy of temporary balloon occlusion of the abdominal aorta assisting open reduction and internal fixation (ORIF) in the treatment of complex acetabular fracture.
MATERIAL AND METHODS: From August 2000 to October 2011, a total of 48 patients with complex acetabular fracture were enrolled in this study. Average operative time, intraoperative blood loss volume, blood transfusion volume, satisfactory reduction, and postoperative functional recovery rate were recorded and compared between the 2 groups.
RESULTS: A significant difference was observed between the 2 groups in operative time (P=0.003). For intraoperative blood loss and blood transfusion, ORIF combined with temporary balloon occlusion of abdominal aorta techniques appeared to be superior to normal ORIF (blood loss: P=0.007; and blood transfusion: P=0.019, respectively). However, no differences were observed in postoperative blood loss or transfusion (P>0.05). Patients in group A showed better hip function than those in group B (group A: a good-to-excellent rate of 77.8%; group B: a good-to-excellent rate of 78.3%; P>0.05). With regard to the incidence of postoperative complications, there were no significant differences between the 2 groups (group A: 9/18; group B: 11/23; P=0.890).
CONCLUSIONS: In the treatment of complex acetabular fracture, temporary balloon occlusion of the abdominal aorta is a reliable technique to assist ORIF surgery to staunch the flow of blood.

Keywords: Aorta, Abdominal, Balloon Occlusion, Fractures, Bone, Internal Fixators

Published: 2016-07-01

Pulsatile Support Mode of BJUT-II Ventricular Assist Device (VAD) has Better Hemodynamic Effects on the A...

Kaiyun Gu, Bin Gao, Yu Chang, Yi Zeng

Med Sci Monit 2016; 22:2284-2294

DOI: 10.12659/MSM.896291

Published: 2016-06-30

Operative Technique and Clinical Outcome in Endoscopic Core Decompression of Osteochondral Lesions of the...

Sascha Beck, Tim Claßen, Marcel Haversath, Marcus Jäger, Stefan Landgraeber

Med Sci Monit 2016; 22:2278-2283

DOI: 10.12659/MSM.896522