International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2019, Volume 5 Issue 2

The epidemiology and fracture patterns of acetabular fractures in a tertiary care centre of North India: A hospital based study

Author(s): Manzoor Ahmed Halwai, Qazi Waris Manzoor, Mohd. Iqbal Wani and Bashir Ahmed Mir
Abstract: Background: A prospective study was conducted at Government Hospital for Bone and Joint Surgery, Barzulla, Jammu and Kashmir from 2015 to 2017. The study was a hospital based descriptive review of data of patients obtained from the tertiary care Orthopaedic hospital of Kashmir valley.
Material and Methods: We performed a hospital based prospective review of data of patients obtained from a tertiary care orthopedic hospital for Kashmir valley, namely Government hospital for Bone and Joint surgery hospital, Barzulla. Data from patients admitted for acetabular fractures from June 2015 to December 2017 was collected prospectively. Data on patients' ages, sex, side affected by the fracture, mechanism of injury, patterns of fracture, complications of the operation and associated fractures was collected.
Results: In this study sixty patients were evaluated from 2015 to 2017. 55% (33) of these patients presented a fracture in the left-side acetabulum, while 45% (27) presented a fracture in the right-side acetabulum. Car accidents accounted for 45% (27) of cases, followed by motorcycle accidents (30%; 18) and falls (10%; 6). The most common fracture pattern according to Letournel classification was anterior column with posterior hemi transverse (31.67%; 19) followed by posterior wall fractures (20%;12) and transverse type (18.33%;11). The most common associated injury was fracture of distal end of radius (8.33%; 5) followed by pelvic injuries (5%; 3).
Conclusion: It was observed in this population that
1. The left side was more affected.
2. The mechanism of injury that most often caused this type of fracture was automobile accidents.
3. Most common pattern of injury was anterior column with posterior hemi transverse.
4. Injuries to the sciatic nerve were the commonest surgical complications.
5. The most common associated injury was fracture of distal end of radius.
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