Original Articles
Functional and radiological outcome of posterior column and/or posterior wall of acetabular fracture after open reduction and internal fixation | |
Dr. E Mugunthan, Dr. P Murali, Dr. A Sudharsan | |
Introduction: Acetabular fractures, which reach through into hip joint, are difficult for orthopaedic trauma surgeons to treat. Case reports from 1943 have been the earliest known reports of surgical stabilisation of bone fractures. Materials and Methods: In our research, series of 29 patients, the utmost common age group was 21 - 40 years. The predominant sex affected were males in our series, the ratio of male to female being 9: 1. Automobile mishaps are the most general mode of wound since tremendous amount of energy dissipation is involved in this injury, acetabular fractures are often associated with a spectrum of injuries to other bony and soft tissues structures, which complicate treatment and often determines the outcome in these injuries. The common soft flesh wound linked with acetabular fracture in our series was the sciatic nerve palsy. The common skeletal injury associated was lower limb fractures. The thorough assessment and early resuscitation is of paramount importance in the management of these critically ill patients. The predominance of posterior wall fracture were comminuted or connected with articular surface impaction damage into the supporting cancellous bone all along fractured line's edge. Results: The clinical result has been found to be linked to the precision with which these breaks are reduced. Fractures that involved more than half of the posterior wall were deemed unstable. All the other posterior wall injuries were regarded possibly unstable, even if they weren't linked with a previous hip displacement. There were two posterior dislocations and one central dislocation associated with acetabular fractures in our series. Even though posterior wall fissures are the most available and easily stabilised of all acetabular fractures, medicine of comminuted posterolateral wall fractures is linked with a range of possible problems, such as femoral head osteonecrosis, osteoarthrosis, osteoclast of the wall shards, and failure of fixing of the wall. Conclusion: Based on our research, we obtained the longer term excellent functional result was directly predisposed through linked complications like sciatic nerve palsy, heterotopic ossification and the increase in the duration between injury and surgery which may be due to associated life-threatening injuries or associated fractures. |
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