Outcome of surgical treatment for displaced acetabular fractures: a prospective study

Lal, Sahu Ramji

doi:10.1016/j.rboe.2017.12.007

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Ortopedia

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Artigos Originais • Rev. bras. ortop. 53 (4) • Jul-Aug 2018 • https://doi.org/10.1016/j.rboe.2017.12.007 copy

Outcome of surgical treatment for displaced acetabular fractures: a prospective study^☆ ☆ Study conducted at Department of Orthopedics, Sharda University, Greater Noida, India.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

The aim of this study was to evaluate the functional outcome of surgically treated acetabular fractures.

Methods:

A prospective longitudinal study was undertaken in this hospital during the period from December 2010 to December 2014. A total number of 46 patients with the diagnosis of acetabular fracture were included in the study. The main cause of the acetabular injury was a road traffic accident. All the patients were treated surgically with plates and screws. Outcome was assessed radiologically and functionally, employing the Harris Hip Score. The mean follow-up period of the patients in the postoperative period was 30 months (24-36 months).

Results:

The results were excellent in 60.86%, good in 21.73%, fair in 8.69%, and poor in 8.69%. Post-operative complications of acetabular fracture such as heterotopic ossification were found in 2.17%, osteoarthritis in 6.52%, skin infections in 4.34%, nerve lesions in 2.17%, and vascular necrosis in 4.34% of patients. More than 80% of patients were satisfied with the results of acetabular surgeries.

Conclusion:

These results show that internal fixation of acetabular fractures leads to a good outcome in the majority of patients.

Keywords:
Acetabulum; Arthroplasty, replacement, hip; Fractures, bone; Hip joint

Age (years)	Male	R	L	Female	R	L	Total
20–40	4	2	2	2	1	1	6
41–60	8	5	3	4	3	1	12
>61	18	11	7	10	6	4	28
Total	30	18	12	16	10	6	46

Fracture types	Side involved (%)
Fracture types	Right	Left
Elementary fracture
Posterior wall	12 (21.73)	8 (17.39)
Posterior column	8 (17.39)	4 (8.69)
Anterior column	4 (8.69)	2 (4.34)
Transverse	2 (4.34)	2 (4.34)

Associated fracture
Both column	2 (4.34)	2 (4.34)

Associated fractures	Number (%)
Head	2 (4.34)
Thorax	3 (6.52)
Intraabdominal	3 (6.52)
Genitourinary	4 (8.69)
Vertebra	2 (4.34)
Post-pelvic ring	4 (8.69)
Major vascular	0 (0)
Extremity	8 (17.39)
Neurological	0 (0)

Score	Frequency (%)
Excellent (90–100 points)	28 (60.86)
Good (80–89 points)	10 (21.73)
Fair (70–79 points)	4 (8.69)
Poor (less than 70 points)	4 (8.69)

Type of complication	Frequency (%)
Vascular lesion	0 (0)
Nerve lesion	1(2.17)
Deep infection	0 (0)
Deep vain thrombosis	0 (0)
Urological complications	0 (0)
Vascular necrosis	2 (4.34)
Osteoarthritis	3 (6.52)
Heterotopic ossification	1 (2.17)
Skin infection	2 (4.34)
Loss of reduction	1 (2.17)

Author(s)	Cases	Mean follow-up	Excellent/good
Bucher¹³13 Briffa N, Pearce R, Hill AM, Bircher M. Outcomes of acetabular fracture fixation with ten years’ follow-up. J Bone Joint Surg Br. 2011;93(2):229-36.	161	11.3	73
Madhu et al.¹⁴14 Madhu R, Kotnis R, Al-Mousawi A, Barlow N, Deo S, Worlock P, Willett K. Outcome of surgery for reconstruction of fractures of the acetabulum. The time dependent effect of delay. J Bone Joint Surg Br. 2006;88(9):1197-1203.	237	2.9	76
Deo et al.¹⁵15 Deo SD, Tavares SP, Pandey RK, El-Saied G, Willett KM, Worlock PH. Operative management of acetabular fractures in Oxford. Injury. 2001;32(7):581-6.	74	2.6	74
Fica et al.¹⁶16 Fica G, Cordova M, Guzman L, Schweitzer D. Open reduction and internal fixation of acetabular fractures. Int Orthop. 1998;22(6):348-51.	84	5.5	68
Rommens et al.¹⁷17 Rommens PM, Broos PL, Vanderschot P. Preparation and technique for surgical treatment of 225 acetabulum fractures 2 year results of 175 cases. Unfallchirurg. 1997;100(5):338-48.	175	2	76
Matta et al.¹⁸18 Matta JM, Mehne DK, Roffi R. Fractures of the acetabulum. Early results of a prospective study. Clin Orthop Relat Res. 1986;(205):241-50.	255	6	76
Mayo¹⁹19 Mayo KA. Open reduction and internal fixation of fractures of the acetabulum. Results in 163 fractures. Clin Orthop Relat Res. 1994;(305):31-7.	163	3.7	75
Ruesch et al.²⁰20 Brueton RN. A review of 40 acetabular fractures: the importance of early surgery. Injury. 1993;24(3):171-4.	53	1	83
Brueton²¹21 Magill P, McGarry J, Queally JM, Morris SF, McElwain JP. Minimum ten-year follow-up of acetabular fracture fixation from the Irish tertiary referral centre. Injury. 2012;43(4):500-4.	26	2	61
Qadir Ri et al.²²22 Traub RJ, Ji Y. Sex differences and hormonal modulation of deep tissue pain. Front Neuroendocrinol. 2013;34(4):350-66.	19	1	84
Present study	46	2.5	82.60

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Conflict of interest

The authors declare no conflicts of interest.

Brasil

Brasil

Outcome of surgical treatment for displaced acetabular fractures: a prospective study☆ ☆ Study conducted at Department of Orthopedics, Sharda University, Greater Noida, India.

ABSTRACT

Objective:

Methods:

Results:

Conclusion:

Outcome of surgical treatment for displaced acetabular fractures: a prospective study^☆ ☆ Study conducted at Department of Orthopedics, Sharda University, Greater Noida, India.