Study of functional outcomes of surgical management of acetabular fractures

Author(s): Dr. Anshul Gupta and Dr. Jitender Singh

Abstract: The incidence of acetabular fractures is on the rise with the increase in the high velocity road traffic accidents. The goal of the surgical management of acetabular fractures is pain free motion and stability to permit vocational and day to day activities without the propensity for future degenerative changes. Aim of the study was to prospectively analyze the functional and radiological outcome and complications of Surgically Managed Acetabular Fractures. Study was carried out at New Civil hospital Surat from January 2017- September 2018. A total of 25 patients were enrolled for the study. A minimum follow-up period of 6 months was required for these patients. At the end of the study only 13 patients were available for assessment/evaluation. Majority (46.2%) of the patients in our study were young adult between the age group of 18-30 years. 76.9% of the patients were operated within 7 days of injury. Incidence of both elementary (53.8) and associated types (46.2) of fracture was almost equal. Posterior dislocation was present in 3(23.1%) patients. 11(84.6%) had excellent functional out come as per criteria described by matta harris hip score at 6 months. 9 patient (69.2%) had near anatomical reduction after reduction. Relationship between Score and reduction was statistically significant. (p = 0.04). The goal of the surgical treatment was to produce a functional mobile painless joint that continues to function till the rest of life for the patient which is best achieved by anatomical reduction of fractures and stable fixation, the most important factor that determines the outcome.

DOI: https://doi.org/10.22271/ortho.2019.v5.i4m.1761