Short–term Analysis of Surgically fixed acetabular fractures– factors affecting outcome and correlation of outcome with radiological score

Dr.K.S.Asif Hussain; Dr.P.Chandrasekhar; Dr. Md.G.D.Faisal

Volume : VIII, Issue : V, May - 2019

Short–term Analysis of Surgically fixed acetabular fractures– factors affecting outcome and correlation of outcome with radiological score

Dr. K. S. Asif Hussain, Dr. P. Chandrasekhar, Dr. Md. G. D. Faisal

Abstract :

Introduction: The relative infrequency and complexity of acetabular fractures make them the most challenging fractures to deal with. These fractures are the result of high velocity injuries, most common in the young males, and very disabling if not treated well. Operative treatment is the standard for displaced acetabular fractures. Aim of treatment is to maintain a stable congruent joint. The purpose of this study is to analyse the functional outcome and assess the complications of surgically treated acetabular fractures. Materials & Methods: We analysed 32 patients who were operated from August 2015 onwards and had completed at least one year of follow–up by October 2017 with The Department of Orthopaedics at Nizam�s Institute of Medical Sciences, Hyderabad. Specific criteria were used to choose the treatment modality. Clinical outcome was graded using Merle D�Aubigne–Postel scoring system and Harris Hip Score. Radiological outcome was evaluated by Matta�s criteria. Results: Posterior wall fracture was most common. We had good to excellent functional outcome in 24 patients, fair to poor results in 8 and good to excellent radiological outcome in 25 patients, fair outcome in 7.Two patients had infection, two had heterotopic ossification, one patient had AVN of femoral head and four had OA of hip joint. Conclusion: The clinical outcome depends on multiple factors out of which many are not under the surgeon�s control like co–morbidities, delay in presentation, compliance, associated injuries and type of fracture. Delayed presentation is common. Severe polytrauma is associated. Hence, strict adherence to ATLS protocols is essential. �Life first, limb next.�