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

Abstract

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>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.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> 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.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>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 good in more than 56% of the cases and good in more than 30% of them.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Present study needs further follow up for better understanding of long term results.</p>

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“…11(28%). The same were also experienced in their study by Hussain, et al [1]. In our study we found that open reduction and internal fixation was the preferred and major management practices for the patient.…”

“…Acetabular fractures occur when the head of femur is pushed into the pelvis by a lateral blow to the hip or by an anterior blow to the knee with hip in flexion and abduction [1]. Acetabulum fracture has rare incidence of about 5/100,000 people per year, as compared to proximal femur fractures, which has about a hundred times higher incidence, based on geographical areas [2].…”

Fucntional and Radiological Outcome of Surgical Management of Acetabular Fractures in Tertiary Care Hospital

“…Previous study concludes that delay in surgical reconstruction of acetabular fractures has worse effect on outcome2122). We evaluate the effect of delay in surgical reconstruction on outcome by dividing patients into two groups.…”

Evaluation of Functional Outcome and Complications after Open Reduction and Internal Fixation of Acetabulum Fractures

“…Recently it has become obvious that accurate reduction of the fracture is an important factor in achieving satisfactory outcome and open reduction is better than closed reduction which resulted in incongruence of articular surface of hip joint and patients were left with enormous pain and end result stiff and painful suboptimal functioning hip joint. 2,3 The treatment of simple fractures of acetabulum is well known and studied. Treatment of complex Acetabular fracture is difficult as it involves both the column of the acetabulum, for reduction and fixation, both columns have to manipulated and fixed.…”