FUNCTIONAL OUTCOME OF SURGICAL FIXATION OF ACETABULAR FRACTURES

  • DR. ADNAN LATIF MALIK Postgraduate Medical Institute, Ameer ud Din Medical College, Lahore General Hospital, Lahore
  • DR. MUHAMMAD IQBAL Postgraduate Medical Institute, Ameer ud Din Medical College, Lahore General Hospital, Lahore
  • DR. IRFAN MEHBOOB Postgraduate Medical Institute, Ameer ud Din Medical College, Lahore General Hospital, Lahore
DOI: https://doi.org/10.51642/ppmj.v27i1.207
Keywords: Displaced Acetabular Fracture, Modified Merle D’Aubigné And Postal Score

Abstract

Introduction: Fractures of the acetabulum occur primarily as a result of high-velocity trauma. Anatomic reduction and stable fixation of the fracture, such that the femoral head is concentrically reduced under an adequate portion of the weight bearing dome of the acetabulum, is the treatment goal in these difficult fractures. Aim of this study was to determine the functional outcome in patients after reconstruction of displaced acetabular fractures.

Methodology: Descriptive case series was conducted from January 2013 till June 2016 in orthopaedic ward at Lahore General Hospital. 25 consecutive patients had open reduction and internal fixation of acetabular fractures performed in our orthopedic unit. Five patients were lost to follow-up. The outcome measure was noted in 20 patients after oneyear follow-up using Modified Merle D'Aubigné & Postal score.

Results: Excellent result was found in 9(45%), good in 5(25%), fair in 2(10%) and poor in 4(20%) cases.

Conclusion: Complications were common and outcome was variable. Though surgical fixation remains a challenge, still it is the gold standard treatment of displaced acetabular fractures.

Published
2016-12-01
Issue
Vol 27 No 1 (2016): Postgraduate Medical Journal
Section
Article