Acetabular fractures labelled poor surgical choices: Analysis of operative outcome

Abstract

FracturesNeglected Osteoporosis a b s t r a c t Purpose: We report the surgical outcome in 52 patients with acetabular otherwise considered as poor surgical choices.Methods: 43 male and 9 female patients were operated at a mean age of 43 years and followed up for a mean duration of 60.3 months. There were 22 elementary fractures and 31 associated ones according to Letournal and Judet classification. Osteosynthesis was attempted in 48 patients whereas a primary total hip arthroplasty was performed in 4 patients. Outcome was assessed radiologically and functionally employing Harris Hip Score (HHS).Results: Average HHS in osteosynthesis group was 82.56 ± 12.4 with excellent to good results in 59.6% of the cases. Symptomatic osteoarthritis occurred in 13.5% of cases, avascular necrosis and severe heterotopic ossification in 7.7% each, infection and nerve palsy in 11.5% each. Conclusion:Although the complication rates in this series is marginally more than that reported in literature, we recommend that the indications of surgical fixation in acetabular fractures need to be extended to those which were considered poor surgical choices.

Total hip arthroplasty for posttraumatic osteoarthritis following acetabular fracture: A systematic review of characteristics, outcomes, and complications

“…We obtained the full-text of all potentially relevant reports and two review authors (EL, HP) independently screened all full-text reports for inclusion and exclusion criteria. Twenty-five articles were excluded after full text review for the following reasons: seven non-English language articles, 10 , 11 , 12 , 13 , 14 , 15 , 16 eight articles describing acute fracture management or lacking delayed THA, 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 eight articles with insufficient sample size (case reports and review articles), 5 , 6 , 25 , 26 , 27 , 28 , 29 , 30 one article with insufficient outcome data or follow-up duration, 31 and one article with co-occurring femur fractures and other ipsilateral injuries. 32 Cases of disagreement were resolved by discussion, and if no consensus was reached a third review author (SN) was consulted to make the decision.…”

Use of tricortical iliac crest strut autograft in comminuted posterior wall acetabular fractures: A case series

“… 11 Gupta et al. 12 in their study of 52 patients with poor outcomes of acetabular fractures, 13 had comminuted fractures with greater than three fragments. We agree with Matta that a malreduced posterior wall or non-union of the comminuted fragments can cause rapid wear of the femoral head that resembles AVN.…”

Temporary Balloon Occlusion of the Abdominal Aorta in Treatment of Complex Acetabular Fracture

“…Usually, acetabular fractures are managed with surgical fixation unless criteria for conservative treatment are fulfilled [ 3 ]. However, the treatment of acetabular fractures is a major challenge for most orthopedists, not only due to combined multiple organ injuries, but also due to the complicated fracture type and complexity of surgical reconstruction [ 4 , 5 ].…”