Asian Journal of Orthopaedic Research

Functional Outcome in an Acute Acetabular Fracture & Diagnosis, Management and Prognosis Following Surgical Treatment: Current Concepts

Md. Salim

Government Medical College, Kota, Rajasthan, India.

Ashok Kumar Tiwari

Government Medical College, Kota, Rajasthan, India.

Jitendra Aloria *

Government Medical College, Kota, Rajasthan, India.

Dhanraj Meena

Government Medical College, Kota, Rajasthan, India.

Utsav C Shetty

Government Medical College, Kota, Rajasthan, India.

*Author to whom correspondence should be addressed.

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Abstract

To evaluate the functional results of early surgical treatment for displaced acetabular fractures, as well as the complications involved.

Methods: A study involving 23 patients aged 18–55 with acetabular fractures from 2017–2019 followed their treatment using open reduction and internal fixation using, plate, and internal screw. Patients were excluded from the study due to factors like pregnancy, infection, poor physical conditions, and previous diseases. The study used Kocher, Langenback, and ilioinguinal approaches for postoperative treatment, but no condition was cured.

Results: A total of 23 patients were operated. Union was achieved in anatomical position in 20 (86.95%) patients and in malposition in 3 (13.05%%) patients. Excellent results were obtained in 12 (52.17%) patients, good results in 5 (21.73%), fair results in 3 (13.04%), and poor results in 3 (13.04%) patients. Postoperative complications included infection 0 (0%), heterotopic ossification 0, sciatic nerve injury (1) (4.34%), and avascular necrosis in 2 (8.60%) patients.

Conclusion: Acetabular fractures are orthopedic injuries requiring careful attention and treatment. Earlier Acetabular Surgery were difficult due to poor anatomy and surgical procedures. Advances in CT scans and 3D reconstructions have made fracture patterns more common. Open reduction and internal fixation are the preferred treatments, aiming to reduce body size and achieve stabilization quickly. However, the study has limitations due to the small number of cases and its short duration.

Keywords: Acetabular fracture, Kocher Langenbeck, Ilioinguinal, heterotropic, ossification

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