Functional outcome of posterior lip acetabular fracture and hip dislocation fixed with reconstruction plate.

Abstract

Objective: To determine the functional outcome of posterior lip acetabular fracture and hip dislocation fixed with reconstruction plate. Study Design: Descriptive Case Series study. Setting: Department of Orthopaedic, Dr Ruth K. M. Pfau Civil Hospital Karachi. Period: August 2014 to December 2020. Material & Methods: 36 patients were included in the study. Age between18 years to 60 years. All patients fixed with reconstruction plate. Harris hip score assessed at follow up till 12 months. Harris hip score above 90 was considered as excellent, between 70–89 as good and below 70 as poor. Results: The mean age of the patients was 43.67 ±11.56 years. Majority of the patients were males (n=29, 80.6%). Good functional outcome was found in (n=15, 41.7%) of the patients, excellent in 8 (22.2%) and poor in 13 (36.1%) patients. Satisfactory outcome was found in 23 (63.9%) patients. A significant association of satisfactory outcome was found with age (p-value <0.001). Avascular necrosis 7, infection 5 and arthritis in 6 patients noted. One patient had associated sciatic nerve palsy, three had head of femur fracture and 1 with ipsilateral midshaft femur fracture. Conclusion: For posterior hip dislocation with lip fracture we suggest emergency reduction and timely fixation of posterior lip fracture can improve the clinical outcome of patient and even complications happen in future it preserve the bone stock for the future arthroplasty procedure.