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 32
- Downloads 0
Neglected clubfoot in an adolescent treated with posteromedial release-Case Report.
Neglected clubfoot in adolescent is a challenge to treat for an Orthopedic surgeon. The aim of treatment is a pain free and cosmetically acceptable foot with near normal function. Different treatment modalities have been...
Piriformis Muscle Sparing Posterior Approach in Total Hip Replacement: Our Experience
Background: The total hip arthroplasty (THA) procedure is effective surgical procedures of twentieth century. THA has been considered using a variety of techniques. The objective of current study was to determine outcome...
Surgical Audit of Orthopaedics patients operated in covid-19 pandemic. Do patients have an increased complication rate?
Introduction: CoVID-19 (Coronavirus disease) pandemic has involved the whole globe and exposed the limitation of health care system of different countries. Although , different countries have introduced various modali...
Relationship of Preoperative Surgical Delay to Mortality in patients with Hip Fractures. A Retrospective Study
Objective: The objective of my study is to develop Relationship of Preoperative Surgical Delay to Mortality in Patients with Hip Fractures at 1year. Study design: Retrospective observational study Place and Duratio...
Outcome of Arthroscopic Stabilization of Anterior Shoulder Instability using All-Suture Anchor Technique
Objective: To determine the functional outcome of arthroscopic shoulder stabilization of anterior shoulder instability using all-suture anchors. Methods: This descriptive study was conducted in Department of Orthopedi...