Clinical and radiological outcome measures in patients after reconstruction of displaced acetabular fractures.

Abstract

Objective: To determine the clinical and radiological outcome parameters of surgical treatment of acetabular fractures in patients after reconstruction of displaced acetabular fractures. Study Design: Prospective study. Setting: Department of Orthopedics, Lahore General Hospital, Lahore. Period: January 2014 to December 2019. Material & Methods: A total of 27 cases of acetabular fractures operated with open reduction and internal fixation were included. Seven patients were lost to follow-up. The outcome measures were noted in 20 patients after three years follow-up. Modified Merle D'Aubigné and Postal score and Matta radiological scoring systems were utilized to note the outcomes.  Results: There were 14 (70.0%) male and 6 (30.0%) female. Overall mean age was 35.5+8.4 years ranging between 25 to 65 years. Road traffic accidents were the most frequent mechanism of injury noted in 16 (80.0%) patients. The Kocher-Langenback approach was the most commonly adopted surgical approach done in 14 (70.0%) patients. The functional outcome according to Modified Merle D’Aubigné and Postal score was excellent in 9 (45%) patients and poor in 4 (20%). The radiological conclusion according to Matta’s radiological score was excellent in 8 (40%) patients and poor in 4 (20%). Four patients developed avascular necrosis of head of femur for which total hip replacement was done later. Conclusion: Complications were common and outcome was variable after reconstructing of displaced acetabular fractures.