Olivera Lupescu 1, 2, Mihail Nagea 2, Alexandru Lisias Dimitriu 1, 2, Nicolae Marian Ciurea 2, Gheorghe Ion Popescu 1, 2, Alina Grosu 2, Taina Elena Avramescu 1, 3
1 University of Medicine and Pharmacy “ Carol Davila” Bucharest, Romania
2 Clinical Emergency Hospital Bucharest, Orthopaedics and Trauma Clinic, Romania
3 University of Craiova, Romania
Abstract
Due to their functional impact upon not only the hip joint, but on the whole biomechanics of the lower limb and spine, optimal restoration of functional anatomy is mandatory in posterior acetabular fractures. Therefore, treatment of posterior acetabular fractures require certain skills which must be exercised, regarding pre-operative planning, as well as execution of surgery. The purpose of this paper is to establish the main causes of potential errors and to underline the methods for preventing them, as targeted by the Erasmus + project “„Collaborative learning for enhancing practical skills for patientfocused interventions in gait rehabilitation after orthopaedic surgery COR-skills “. The paper analyses the problems which interfered with the pre, intra and post-operative treatment, as well as the potential measures to enhance the practical skills of the surgeons performing acetabular surgery. Inappropriate approach, incorrect reduction and malposition of the implant were the most frequent problems in the study group. In posterior acetabular fractures, pre-op complex planning is important in order to achieve maximum treatment efficacy with minimum of risk; an optimal training of the surgeons insisting on the main points of potential mistakes ensures the success of the procedure, as well as a favourable outcome of the patient. Choosing the approach according to the fracture pattern and careful monitoring the reduction and the position of the implant are mandatory for a good result in order to decrease the risk of secondary osteoarthritis.