Functional and Radiological Outcomes of Acetabular Fractures

Abstract

Background: Trauma is one of the leading cause of acetabular fractures, which are becoming more common in developing nations. The treatment of displaced acetabular fractures is a difcult challenge for the orthopedic surgeon. The current study objective was to look at the functional and radiological outcomes of operated acetabular fractures. From 2018 to 2019, we retrospect Methods: ively reviewed the medical records of patients who had operatively treated acetabular fractures at a Tertiary Care Centre and had at least a one-year follow-up. The research was completed by 47 patients in total. The key objectives were functional and radiographic outcomes, as well as complications. The mean age of patients was Results: 40.06±11.84 years with male predominance (82.97%) and road trafc accident was the main reason of fracture (72.34%). The most prevalent acetabulum fracture pattern was left posterior wall (17.02%) and right both column (17.02%). The mean duration before surgery was 8.02±4.84 days. Most common post-operative complication was arthritis seen in 5(10.63%) cases followed by infection 3(6.38%). Radiological outcome was poorly xed in 7(14.90%) patients and well-xed in 40(85.10%) patients at the end of one year. In 53.19% cases Harris Hip Score was excellent followed by good in 29.79% cases. 3(6.38%) patients required secondary surgery. There was signicant association of functional outcome and duration of surgery as per Chi-Square test (p<0.05). Results suggest that operative outcome Conclusion: of acetabular fractures is reliable if judicious operative decision taken at the earliest. Anatomical to fair reduction can give excellent clinical result in these fractures. On follow up, radiological outcomes correlated well with clinical condition of the patient.