Analysis of displaced acetabular fractures in adults treated with open reduction and internal fixation

Khazi Syed Asif Hussain, Nageswara Rao Kancherla, Sandeep Kumar Kanugula, Chandrasekhar Patnala


Background: The incidence of acetabular fractures is increasing worldwide at a rapid rate due to increase in rail and road traffic accidents and high velocity injuries. The incidence of acetabular fractures is increasing worldwide at a rapid rate due to increase in rail and road traffic accidents and high velocity injuries.

Methods: 30 patients aged between 18 to 60 years with closed displaced acetabular fractures were included into the study. A single surgical approach such as the Kocher-Langenbeck, the ilioinguinal, and the extended iliofemoral approach was selected depending on the type of fracture, with the expectation that the fracture reduction and fixation can be completely performed through the one approach.

Results: Out of the 30 patients, 12 patients were between the 21-30 age group and 10 were between 31-40 age group with most of them being males involved in road traffic accidents. Predominance of right side was seen in 22 (73, 33%) and 8 (26.66%) persons had left sided fractures. Posterior wall fractures were seen in 5 cases while transverse was seen in 4 cases. Combinations of both were seen in 8 patients. The outcomes were excellent in more than 56% of the cases and good in more than 30% of them.

Conclusions: Present study needs further follow up for better understanding of long term results.


Acetabular fractures, Open reduction, Internal fixation, Kocher-Langenbeck approach

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