Saravana Kumar Kadirvelu1, Bharath Narayanaswamy2, Aravindhan Kalamegam3
BACKGROUND
Fractures of the acetabulum occur primarily in young adults as a result of high
velocity trauma and in old age even with trivial
trauma. Anatomic reduction and stable fixation of the fracture such that the femoral head is concentrically reduced under an
adequate portion of the weight bearing dome of the acetabulum is the treatment goal in these difficult fractures
The aim of the study is:
1. To study the outcome after reconstruction of fracture of acetabulum.
2. To study the postoperative complications and failures.
M
A TERIALS AND METHODS
The present
s tudy was carried out from March 2015 to September 2016 at Orthopaedics D epartment A a rupadai V eedu Medical
College and Hospital D uring this period 25 patients of a cetabul a r fracture (20 males and 5 f emales) were managed in our
hospital surgically. The indication for surgery in a cetabulum fracture was decided according to displacement of fracture and it i s
decided by measuring the roof arc measurement d eveloped by Matta. If the fracture ha s been displaced medially or anteriorly
or posteriorly to 45° or 25° or 70° then the fracture should be taken for surgery. All our patients were operated under general
anaesthesia with plate and screws ( r econstruction or d ynamic compression). Some patients were treated with interfragment a ry
screws
RESULTS
Our results were evaluated on the basis of both clinical and radiologic criteria as well as according to fracture type
1 2 3 Radiologic
evaluation showed 76% of excellent and g ood results and 24% of fair or poor results, while the functional outcome assessment
according to d ’Aubigne postal s coring and Harris hip s core in a cetabulum fracture e xcellent f unctional outcome in 13 patients
with posterior column a cetabulum fracture and f air or poor result in 5 p atient s In a nterior column a cetabulum f racture 7
p atients had e xcellent functional outcome (44%). Similar results have been reported by Letournel 2 and Matta 4,3,5 If results were
associated with the fractu re type it was clear that simple fractures gave a better outcome than complex fracture as expected,
because in simple fractures anatomic reduction i s achieved more often.
CONCLUSION
We believe that surgical treatment of
a cetabular fracture leads to a satisfactory outcome provided the operation is carried out
within f irst few days following the i nitial injury and a natomic reducti on of the fracture is achieved.
