FUNCTIONAL OUTCOME OF SURGERY IN PATIENTS WITH ACETABULAR FRACTURES
Abstract
Background: High velocity injuries due to road traffic accidents can be managed conservatively or surgically depending whether the fracture is displaced or not. The objective of this study was to evaluate functional outcome of surgery in patients of acetabular fractures. Methods: It was a case series study conducted in Department of Orthopaedic Surgery, Pakistan Institute of Medical Sciences from 1st october 2007 to 15th December 2008. Thirty patients were included in the study fulfilling the inclusion criteria. Patients were followed up in the OPD and were evaluated for functional outcome by using Harris Hip Scoring System. Results: Total 30 patients were operated during the study period. Mean age of patients was 33.5 years. Males were 22 and females were 8. Twenty-three patients had road traffic accident as a cause of injury and 7 were due to fall. Ninety-three percent of patients were operated within 2 weeks. Most common type of fracture was both column fractures. In only one patient sciatic nerve injury was present postoperatively. Average hospital stay was 7 days. Out of 30 patients, 21 patients were classified to have good score, 4 patients were classified to have excellent score while 5 patients were having poor result. Conclusion: The surgical management of displaced acetabular fractures yields good results.Keywords: Acetabular fractures, Harris hip score, judet views, Road traffic accidents, outcomeReferences
Ghaffar A, Hyder AA, Masud TI. The burden of road traffic injuries in developing countries: The first national injury survey of Pakistan. Public Health 2004;118:211–7.
Giehl JP, Kluba T, Jager G. Acute acetabular fracture following non-convulsive muscular contraction. Acta Orthop Scand 2000;71(5):530–1.
Haveri M, Junila J, Suramo I, Lähde S. Multiplanar and 3D CT of acetabular fractures. Acta Radiol 1998;39(3):257–64.
Pohlemann T, Gänsslen A, Stief CH. Complex injuries of the pelvis and acetabulum. Orthopade 1998;27(1):32–44.
Alonso JE, Volgas DA, Giordano V, Stannard JP. A review of the treatment of hip dislocations associated with acetabular fractures. Clin Orthop Relat Res 2000;(377):32–43.
Rao VSR, Chandrasekhar P, Rao ALVR, Rao VBNP. Results of surgically treated displaced acetabular fractures Among Adults. Clin Proc NIMS 2008;17:2.
Giordano V, Amaral NPD, Franklin CE, Pallottino A, Albuquerque RP, et al. Functional outcome after operative treatment of displaced fractures of the acetabulum. Eur J Trauma Emerg Surg 2007;33:520–7.
Saks BJ. Normal acetabular anatomy for acetabular fracture assessment: CT and plain film correlation. Radiological Society of North America 1986;159:139–45.
Wingstrand H, Egund N, Nillsson LT, Stromqvist B. Acetabular fracture causing hip joint tamponade. Acta Orthop Scand 1988;59(3):323–5.
Abu Al-Noor T. Total hip arthroplasty in posttraumatic acetabular deficiency a short-term follow-up. Pan Arab J Orthop Trauma 2007;11(1):51–6.
Hoffmann R, Stockle U, Nittinger M, Sudkamp NP, Haas NP. Operative treatment of complex acetabular fractures through the modified extensile iliofemoral approach. Unfallchirurg 2000;103(1):12–21.
Feugier P, Fessy MH, Bejui J, Bouchet A. Acetabular anatomy and the relationship with pelvic vascular structures implications in hip surgery. Surgical Radiologic Anatomy 1997:19:85–90.
Cornell CN. Management of acetabular fractures in the elderly patient. HSS J 2005;1:25–30.
Crowl AC, Kahler DM. Closed reduction and percutaneous fixation of anterior column acetabular fractures. Computer Aided Surgery 2002;7:169–78.
Braun W, Mayr E, Ruter A. Reconstruction of complex acetabular fractures using the extensile kocher-langenbeck approach (modified maryland approach. Oper Orthop Traumatol 1997;9(2):83–96.
Gupta RK, Singh H, Dev B, Kansay R, Gupta P, Garg S. Results of operative treatment of acetabular fractures from the third world —how local factors affect the outcome. Int Orthop 2009;33(2):347–5.
Rommens PM, Giménez MV, Hessmann M. Posterior wall fractures of the acetabulum: characteristics, management, prognosis. Acta Chir Belg 2001;101(6):287–93
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