Chang-Chyi Jenq, Jiun-Ren Lin, Francesca Quattri, Lynn Monrouxe
Medical students', residents', and nurses's feedback to clinical educators in Taiwan: A qualitative study
Medical education
ipsilateral acetabulum femur fracture iaff uncommon entity combination challenges surgeon optimal management injury component fixation sequence surgical approaches implant choices complications inappropriate approach one fracture may affect fixation another modify overall outcome perspective aim analyze results patients underwent acetabulum fixation kocherlangenbeck kl approach antegrade femur nailing afn emphasizing incidence infection skin necrosis heterotopic ossification ho five years 22 patients 23 iaff mean age 365 years treated operatively patients underwent kl approach acetabulum fixation afn femur fracture patients treated supervision pelviacetabular trauma consultant demographic data injury surgical postoperative details collected quality acetabular reduction evaluated using mattas criteria radiological outcome obtained final followup graded according mattas criteria functional outcome evaluated merle daubign postel system ho graded according brooker system complications recorded dvt skin necrosis infection arthritis ho avn need additional surgery 23 11 posterior dislocation 6 quadrilateral plate injury central protrusion six without dislocation femur fractures include 9midshaft 4proximal third 3distal third 3trochanteric fractures 4segmental fractures 11 elementary 12 associated acetabulum fractures 21 fractures underwent stagedfixation singlestage fixation done 2 cases treated stagedfixation afn done first mean duration followup 28 months 1657 femur fractures united mean union time 213 weeks 1137 radiological outcome excellent 13 good 4 fair 3 poor 3 functional outcome excellent 3 good 11 fair 4 poor 4 patients none skin necrosis three patients infection 14 608 hips ho clinically significant ho grade 4 286 six 26 patients arthritic changes four 173 hips avascular necrosis afn viable option iaffs requiring kl approach supervision pelviacetabular surgeon combined approach per se demonstrate increased risk infection wound healing problems ho online version contains supplementary material available 101007s4346502100544w