Online ISSN: 2515-8260

Keywords : Kocher-Langenbeck approach


A PROSPECTIVE STUDY TO ANALYSE THE SURGICAL OUTCOME OF POSTERIOR ACETABULAR FRACTURES.

Dr. N.Vishnu Vardhan, Dr. Biju Ravindran, Dr. Yadav Vinod Ramlal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 231-238

Acetabular fractures incidence accounts for 3 patients / 100,000 / year during the last 2 decades. Among acetabular fractures posterior wall accounts for most common acetabular fracture type (25%). The aims and objectives of the study was to evaluate the functional and radiological outcome of posterior acetabular fractures treated with different surgical techniques and the possible post operative complications.
METHODS
A total of 27 patients who had a history of either motor vehicle accident or accidental fall and were radiologically diagnosed with posterior acetabular fracture as per Judet and Letournel classification and underwent surgery for the same. Radiographs were taken after each follow up and patients were evaluated for functional outcome by Modified Harris Hip Score and surgical complications. Statistical analyses were performed using the Statistical Package for the Social Sciences software A p<0.05 was considered statistically significant.
RESULTS
In the present study, the age group range was between 20 and 71 years, and the mean age in the study was 41.9 years. Road traffic accident was the most common cause of fracture (80%) followed by accidental fall (20%) in our study. Right acetabular fracture was the most common (60%) followed by left (40%). Radiological union was achieved in thirteen cases (45%) by 4 months and in 12 cases (55%) by the end of 12 months whereas 2 patients developed non-union. Functional outcomes of all the cases were assessed in terms of Harris hip score grading. 60% of the cases had good, 15% excellent, 20% fair and 5% poor outcome in our study.
CONCLUSIONS
Operative treatment of displaced acetabular fractures gives satisfactory functional results. Functional outcome is better with patient operated within one week of injury than a delay of more than one week