Assessment of functional outcome of operative management of displaced acetabular fractures and complications
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20214180Keywords:
Displaced acetabular fractures, Anatomical reduction, AVNAbstract
Background: Aim of the study was to assess the functional outcome of operative management of displaced acetabular fractures and complications.
Methods: The study included sixty patients presenting within 2 weeks with displaced fractures of more than 2 mm. Elderly patients with osteoporotic bones and co-morbid conditions were excluded.
Results: A total of sixty patients were operated on. Union was achieved in anatomical position in 51 patients (85%) and in malposition in 9 (15%) patients. Excellent results were obtained in 15 (25%) patients, good results in 32 (53%), fair results in 7 (11.6%) and poor results in 6 (10%) patients. Post operative complications included infection in 2 (3%), sciatic nerve injury in 2 (3%) and avascular necrosis (AVN) in 3 (5%) patients.
Conclusions: In the present study, majority of the patients were operated within two weeks. The Harris hip score averaged 58.
References
Schroeder WE. Fracture of the acetabulum with displacement of the femoral head into the pelvic cavity (central dislocation of femur). Bull North-Western Med school. 1909;11(1);9-42.
Rowe CR, Lowell JD. Prognosis of fractures of the acetabulum. J Bone Joint Surg Am. 1961;43:30-62.
Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. J Bone Joint Surg. 1964;46:1615-46.
Matta J, Anderson L, Epstein H, Hendricks P. Fractures of the acetabulum. A retrospective analysis. Clin Orthop Relat Res. 1986;205;230-40.
Anizar-Faizi A, Hisam A, Sudhagar KP, Moganadass M, Suresh C. outcome of surgical treatment for displaced acetabular fractures. Malays orthop J. 2014;8(3):1-6.
Porter SE, Schroeder AC, Dzugan SS, Graves ML, Zhang L, Russell GV. Acetabular fracture patterns and their associated injuries. J orthop Trauma. 2008;22(3):165-70.
Milenkovic S, Saveski J, Radenkovic M, Vidic G, Trajkovska N. Surgical treatment of displaced acetabular fractures. Srp Ar celok Lek. 2011;139(7-8);496-500.
Estrems-Diaz V, Hernandez-ferrando L, Balaguer-Andres J, Bru-pomer A. Acetabular fractures short term results. Rev ESp Cir Ortop Traumatol. 2012;56(1):17-23.
Magu NK, Gogna P, Singh A, Singla R, Rohilla R, Batra A et al. Long term results after surgical management of posterior wall acetabula fractures. J orthop traumatol. 2014;15(3):173-9.
Meena UK, Tripathy SK, Sen RK, Aggarwal S, Behera P. Predictors of postoperative outcome for acetabular fractures. Orthop traumatol Surg Res. 2013;99(8):929-35.
Anjum P, Qayyum N. Experience of fixation of pelvic fractures in mass disaster-a study of 23 cases of sacroiliac joint dislocation. J Pak ortho Assoc. 2008;20(1):88-93.
Kebaish AS, Roy A, Rennie W. Displaced Acetabular fractures: Long-term follow-up. J trauma. 1991;31(11):1539-42.
Briffa N, Pearce R, Hill AM, Bircher M. Outcomes of acetabular fracture fixation with ten years follow-up. J bone Joint Surg Br. 2011;93(2):229-36.
Hickok NJ, Shapiro IM. Immobolised antibiotics to prevent orthopaedic implant infections. Adv drug deliv rev. 2012;64(12):1165-76.
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 orhop. 2009;33(2):347-52.
Biokhuis TJ, Frolke JP. Is radiation superior to indomethacin to prevent heterotopic ossification in acetabular fractures: a systemic review. Clin orthop relat Res. 2009;467(2):526-30.
Haidukewych GJ, Scaduto J, Herscovici D Jr, Sanders RW, Dipasquale T. Iatrogenic nerve injury in acetabular fracture surgery: a comparison of monitored and un monitored procedures. J orthop Trauma. 2002;16(5):297-301.
Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br. 2005;87(1):2-9.
Khan SH, Ara I, Raza S, Sipra S. Functional outcome of surgery in patients with acetabular fracturs. J Ayub Med coll Abbottabad. 2013;25(1-2):60-3.
Firoozabadi R, O’Mara TJ, Swenson A, Agel J, Beck JD, Routt M. Risk factors for the development of heterotopic ossification after acetabular fracture fixation. Clin orthop relat Res. 2014;472(11):3383-8.
Popovic M, Agarwal A, Zhang L, Yip C, Kreder HJ, Nousianen MT et al. Radiotherapy for the prophylaxis of heterotopic ossification: a systematic review and meta-analysis of published data. Radiother oncol. 2014;113(1):10-7.
Nauth A, Giles E, Potter BK, Nesti LJ, O’bien FP, Bosse MJ et al. Heterotopic ossification in orthopaedic trauma. 2012;26(12);684-8.
Dunbar RP Jr, Gardner MJ, Cunningham B, Rout ML Jr. Sciatic nerve entrapment in associated both column acetabular fractures: a report of 2 cases and review of the literature. J orthop trauma. 2009;23(1):80-3.