Abstract: Background: Acetabular fractures are complex fracture encountered by orthopaedic surgeon. The incidence of acetabular fracture is approximately 3 per 1 lakh population. Currently surgical treatment has evolved to be the treatment of choice displaced acetabular fractures. The aim of the study was to evaluate functional outcome of surgery in acetabular fracture and the complication associated with procedure.
Methods: A prospective study was conducted in department of orthopaedic surgery Adichunagiri institute of medical sciences, Mandya from sep 2018 to aug 2020. A total of 20 patients were included in the study. All patients with the history of trauma and pain in the pelvic region were examined clinically and radiologically by doing an X-ray AP view and judet views of the pelvis as well as CTscan. Fractures that were displaced by more than 2 mm with concomitant disruption of the bony continuity of the acetabular dome were treated surgically. The follow-up schedule was 6 weeks, 3 months, 6 months and 12 months post-operatively. Functional outcome was measured using Merle D aubignr and portal methods of scoring system.
Results: Radiologic evaluation showed 90% of excellent or good results and 10% of fair or poor results. The clinical evaluation was done for the patients based on the D’Aubigne-Postel criterion. Clinical evaluation showed 95% of excellent or good results and 5% of fair results.
Conclusion: In acetabular fractures open reduction and internal fixation was consistent with better anatomical reduction and functional outcome provided when it is carried out by an experienced surgeon and intervened within 2 weeks which prevent complication like OA, AVN and avoid need of THR.
