Clinical and Functional Outcome of Acetabular Fracture Fixation: 5-year follow up Retrospective Cohort Study
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2024, Vol 36, Issue 02
Abstract
Objective: Acetabular fractures are amongst complex injuries that Orthopaedic surgeons manage. Commonest cause of these fractures are high-energy trauma, and are frequently accompanied by additional possible life threatening injuries. If not addressed appropriately, Acetabular fractures may result in early hip osteoarthritis. This study was carried out to assess clinical and functional outcomes of acetabulum fracture fixation at 5 years’ follow-up, using Harris hip score. Methods: This retrospective study was done at Liaquat National Hospital from 2010 to 2022, which included 173 patients who underwent acetabular fracture fixation. After excluding patients who expired, did not respond or were lost to follow-up, final sample size summed up to 72 patients. Data encompassed patient demographics, injury mechanisms, treatment details, and complications. Fracture patterns were classified per Letournel and Judet criteria. Surgical intervention involved acetabulum open reduction and internal fixation (ORIF) by a single surgeon who is specialized in pelvic and acetabulum surgeries. Protocols for postoperative rehabilitation and thromboprophylaxis were followed. Clinical and functional outcome was assessed using HHS at five-year follow-up. Results: This study group included 72 patients with a mean age of 45.36 ± 16.3 years and included 64 men and 8 women. Road traffic accidents was the leading cause of acetabular fractures (79.2%), with solitary acetabular fractures accounting for the majority of cases (87.5%). Fracture classification revealed anterior column fractures as the most common subtype (66.7%). The mean HHS at the five-year follow-up was 90.78, indicating excellent outcomes in the majority (68%) of patients. 2 patients (2.8%) developed avascular necrosis, and limb length discrepancy was seen in 6 patients (8.3%). Conclusion: This study underscores the complexity of acetabular fractures and highlights the favorable outcomes of surgical intervention using the Harris Hip Score. Complications like avascular necrosis and limb length discrepancy require regular follow-ups and management accordingly. While acknowledging study limitations, including its retrospective nature and sample size, this research showed excellent clinical and functional outcome after acetabular fracture fixation.
Authors and Affiliations
Marium Zaighum1, Sobia Aziz2, Noman Ashraf3, Rufina Ali4, Syed Moinuddin Shah5, Malik Amna Khatoon6, Intekhab Taufiq7
Keywords
Related Articles
- EP ID EP740822
- DOI -
- Views 34
- Downloads 0
Limb Salvage Surgery in Paediatric Distal Femur Osteosarcoma with Partial Cortical Resection and Coraline Silicon Bone Substitute-Case Report.
Osteosarcoma is the most common malignant bone tumor of Paediatric and adolescent age. Historically radical treatments were opted but with advances in diagnosis and neoadjuvant chemotherapy limb salvage has now become po...
Minimally Invasive Dynamic Hip Screw for Fixation of Stable Intertrochanteric Fractures of The Femur
Objective: To determine outcome of minimal invasive dynamic hip screw procedure for fixation of stable intertrochanteric fractures of the femur. Methodology: A total of 40 patients with closed stable intertrochanteric fe...
Causes of Neglected Clubfeet in Pakistan
Objective: To determine the causes of delay in treating clubfoot in our set up. Methods: This descriptive study was conducted from October 2015 and December 2018 in Hayatabad Medical Complex and Mercy Teaching Hospita...
Use of Reconstruction Nail in The Treatment of Ipsilateral Femoral Neck and Shaft Fractures
Objective: To determine the effectiveness of ipsilateral femur- neck shaft fracture fixation with reconstruction nail at a tertiary health care centre. Methods: This was a prospective observational study conducted fro...
Out Come of Kelafong Procedure in The Treatment of Spinal Tuber Culosis
Objective: To find the outcome of Kelafong procedure in the treatment of spinal tuberculosis Methods: This prospective study was conducted on 8 patients diagnosed with active spine tuberculosis in the Department of Or...