Functional Outcome of Surgically Managed Acetabular Fractures

Abstract

Objective: The objective of study was evaluate the results of open reduction and rigid internal fixation with Reconstruction plates and screws in acetabular fractures. Material and methods: This prospective case series study was conducted at Orthopedic and Trauma Department of medical Teaching Institute Lady Reading Hospital (LRH) Peshawar Pakistan January 2018 to December 2022 on 21 consecutive patients of either gender with the age range from 18-70 years, having acetabular fracture presenting within one month of injury. Patients with open fracture and trochanteric pin for traction as a treatment modality were excluded from the study. Non-probability consecutive sampling technique was used. Patients were followed for a minimum of 6 months. Clinical grading was done according to D’aubigne and Postel modified by Matta. Pain, gait and range of motion were assessed. Radiological grading was done on last visit according to Matta criteria as excellent good, fair and poor. Results: There was total 21 patients having age range of 20-60 years with average age of 37.52. Male were 14 (66.7%) while female were 7 (33.3%). The cause of injury was road traffic accident in 13 (61.9%), Fall 6 (28.6%) and Physical Violence in 2 (9.5%) patients. Right side was involved in 13 (61.9%) while left was involved in 8 (38.1%) patients. There was plate loosening in 2 (9.5%) cases. Excellent results were obtained in 11 (52.4%), good in 7 (33.3%), fair in 2 (9.5%) and poor in 1 (4.8%) cases. Conclusion: Open reduction and internal fixation with 3.5 millimeter reconstruction plate and screws gives Excellent to Good results according to Matta Grading in all fracture of the acetabulam even in osteoporotic bone as well.