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Functional outcome of the surgical management of acute acetabular fractures

By Naseem Munshi, Asad Abbas, Mohamed Amirali Gulamhussein, Ghulam Mehboob and Rija Aitzaz Qureshi

Abstract

Objective: To assess the functional outcome of early surgical management of displaced acetabular fractures and the complications associated with the procedure. Methods: This is a case series study and data was collected using specialized performance. The study included 75 patients and the sampling technique was a non-probability purposive type. Patients presenting with close displaced acetabular fractures of more than 2 mm within 10 days of injury were included. However, elderly patients presenting after 10 days of injury, with evidence of local infection, severe osteoporotic bone and co-morbid such as chronic obstructive pulmonary disease were not included in the study. New acetabular scoring system was used for assessing outcome of patients. Results: A total of 75 patients were operated on. Union was achieved in anatomical position in 66 (88%) patients and in malposition in 9 (12%) patients. Excellent results were obtained in 18 (24%) patients, good results in 41 (54.6%), fair results in 12 (16%), and poor results in 4 (5.4%) patients. Postoperative complications included infection [5 (6.7%)], heterotropic ossification [3 (4%)], sciatic nerve injury [10 (13.3%)], avascular necrosis [3 (4%)] patients. Conclusions: Patients with displaced acetabular fractures should be referred to specialised centres. Early surgical intervention and experienced management is a prime factor in achieving good results

Topics: Acetabular fracture, Kocher Langenbeck, Ilioinguinal, Heterotropic ossification, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Publisher: Elsevier
Year: 2015
DOI identifier: 10.1016/j.joad.2015.06.011
OAI identifier: oai:doaj.org/article:da17f3eb8fdb4e54a8b2f6237a69e0cc
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