Online ISSN: 2515-8260

Keywords : Ipsilateral Fracture

Open Reduction and Internal Fixation of Ipsilateral Fracture of Acetabulum and Fracture Femur through One Approach

Fadhlullah Ali Mansour, Yousuf Mohamed Khira, Waleed Mohammed Nafea, Ahmed Mashhour Gaber

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3361-3368

Background: Major and unstable pelvic fractures as ipsilateral fractures of the
femur and acetabulum are likely to cause severe pain and shock. Poly trauma
management proceeds in line with ATLS protocol and Patients may require
lifesaving surgeries. The study aimed to assess outcome of open reduction and
internal fixation of psilateral fracture of acetabulum and fracture femur through
one approach as the effect way of treatment. Patients and methods: A prospective
study included 18 patients were presented with posterior wall acetabular fracture
with ipsilateral femoral fracture. Patients admitted Orthopedic surgery Department
of Zagazig University hospitals for fracture surgical fixations. Full history, clinical
examination and radiological assessment and Majeed Score were performed for all
patients. Follow up X rays were done in the 1st day postoperative, after two weeks,
3months , 6 months. Results: the healing time of femoral fracture ranged from 14
weeks up to 33 weeks with mean of 21.78 ± 5.9 and healing time of acetabular
fracture was 17.22 ± 4.1 weeks. 55.6% of studied group gave excellent Majeed score
of hip function, while only 16.7% were fair. Conclusion: Ipsilateral fractures of the
femur and acetabulum treated simultaneousness using Kocher-Langenbeck
approach did not demonstrate an increased risk of wound complications, and not
contraindicated to antegrade femoral nailing.