Long Term Follow up of Operated Acetabular Fractures in Indian Population
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: The treatment of acetabular fractures is a complex area of Orthopaedics that is being continuously refined. The surgical reconstruction of acute displaced fractures has become the accepted treatment of choice for achieving best long term results following injury. Our study focuses on the Indian Population. Aim: To study the long term results of the surgical management of acetabular fractures in the Indian Population. Material and methods: This was a retrospective study. Thirty patients were evaluated from February 2013 to June 2015. We included patients more than 16 years with closed acetabular fractures of less than three weeks duration. Patients with compound fracture pelvis, pathological fractures, previously operated cases and patients with other associated fractures were excluded. Results: Two patients postoperatively developed loss of reduction and implant cut out. Three patients developed hypovolemic shock. One patient developed avascular necrosis and subsequently developed post traumatic arthritis. Two patients developed significant Heterotrophic ossification requiring radiotherapy. Anatomic reduction was obtained in 17 patients and satisfactory reduction in 10. Reduction was unsatisfactory in 3 patients. In our study, 23.33% of our patients had an excellent result with good results in 30%, fair results occurring in 33.33% and poor in 13.3% patients. Conclusion: The most important aim of surgical treatment of acetabular fractures is to get a good reduction and a congruous hip and to limit the occurrence of complications. We conclude that open reduction and internal fixation is the treatment of choice for this type of injury.
Authors and Affiliations
Rajeev B. Reddy, Vivek Dubey, Aakash Mugalur, Surya Chandramurthy M, Hardik Kapopara, Sunil M. Shahane
Keywords
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