Lal SR. Outcome of surgical treatment for displaced acetabular fractures: a prospective study.
Rev Bras Ortop 2017;
53:482-488. [PMID:
30027083 PMCID:
PMC6052189 DOI:
10.1016/j.rboe.2017.12.007]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2017] [Accepted: 07/03/2017] [Indexed: 11/29/2022] Open
Abstract
Objective
The aim of this study was to evaluate the functional outcome of surgically treated acetabular fractures.
Methods
A prospective longitudinal study was undertaken in this hospital during the period from December 2010 to December 2014. A total number of 46 patients with the diagnosis of acetabular fracture were included in the study. The main cause of the acetabular injury was a road traffic accident. All the patients were treated surgically with plates and screws. Outcome was assessed radiologically and functionally, employing the Harris Hip Score. The mean follow-up period of the patients in the postoperative period was 30 months (24–36 months).
Results
The results were excellent in 60.86%, good in 21.73%, fair in 8.69%, and poor in 8.69%. Post-operative complications of acetabular fracture such as heterotopic ossification were found in 2.17%, osteoarthritis in 6.52%, skin infections in 4.34%, nerve lesions in 2.17%, and vascular necrosis in 4.34% of patients. More than 80% of patients were satisfied with the results of acetabular surgeries.
Conclusion
These results show that internal fixation of acetabular fractures leads to a good outcome in the majority of patients.
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