CLINICAL OUTCOME OF SURGICALLY TREATED ACETABULAR FRACTURE:  A PROSPECTIVE STUDY.

Raman  Kumar; Kumar  Rahul; Nilesh Kumar  Agrawal; Santosh  Kumar

doi:10.51168/sjhrafrica.v5i3.1113

Authors

Raman Kumar Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Kumar Rahul Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Nilesh Kumar Agrawal Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Santosh Kumar Professor, Department of Orthopaedics, IGIMS, Patna, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1113

Keywords:

Acetabular fracture, Reduction Fixation, Satisfactory Outcome

Abstract

Background:

Fractures in the acetabulum usually require surgical intervention. The surgical procedure is to reduce the fracture and its fixation internally. Intraoperative and postoperative complication associated with the surgery makes the surgery challenging.

Method:

This study was carried out prospectively at the Department of Orthopaedics, IGIMS, Patna for 4 years. In total 50 patients participated in the study. All of them had fractures in their acetabulum. They were treated with open reduction internal fixation surgery for their fractures. screws and plates were used for the reconstruction. The patients followed up for a period of 2 and a half years.

Results:

In total 50 patients participated in the study, the outcome of the last follow-up showed that in 80% of the patients, the functional abilities of the hip bone were restored. As for the complications, osteoarthritis was found in 3 patients, Heterotopic ossification was reported in 2 patients, nerve injury in 1, dermal infection in 2, necrosis of the blood vessel in 2, and imperfect reduction in 1 patient.

Conclusion:

Early treatment and longer follow-up improve the outcome of the reduction fixation irrespective of the age and bone health of the patients

Recommendation:

Early diagnosis, treatment, and longer duration of effective follow-up improves the outcome of acetabular fracture reduction.