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. 2014 Nov;8(3):1-6.
doi: 10.5704/MOJ.1411.001.

Outcome of Surgical Treatment for Displaced Acetabular Fractures

A Anizar-Faizi  1 , A Hisam  1 , K P Sudhagar  2 , M Moganadass  2 , C Suresh  2
Affiliations

Outcome of Surgical Treatment for Displaced Acetabular Fractures

A Anizar-Faizi et al. Malays Orthop J. 2014 Nov.

Abstract

The aim of this study was to assess the outcome of surgical treatment in displaced acetabular fractures in our local facilities. Previous studies reveal good outcome via open reduction method with achievement of congruent joint. We note that studies in this respect have not been conducted in our region. We retrospectively analyzed thirty patients with acetabular fractures who underwent open reduction and internal fixation. The data collection was performed over a 4-year period, from 2008 to 2011. The results showed 20 out of 30 patients (66.7%) had excellent/good results (Harris Hip Score equal or more than 80). Post operative complications were deep infection (6.7%), iatrogenic sciatic nerve injury (10.0%), avascular necrosis (16.7%), heterotopic ossificans (3.3%), degenerative changes in hip joint (43.3%) and loss of reduction (3.3%). In conclusion, surgical treatment of displaced acetabular fractures produces good functional outcome despite the complications.

Keywords: Acetabular fracture, outcome, Harris Hip Score.

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Figures

<b>Fig. 1</b>: Pattern of acetabular fracture in percentage. Post-posterior, ant- anterior.
Fig. 1: Pattern of acetabular fracture in percentage. Post-posterior, ant- anterior.
<b>Fig. 2</b>: Pre op (right) and postop (left) radiograph of 13 years old boy who was operated 68 days after polytrauma injury.
Fig. 2: Pre op (right) and postop (left) radiograph of 13 years old boy who was operated 68 days after polytrauma injury.
<b>Fig. 3</b>: Pre-op (left) and post-op (right) radiograph of the patient with good/excellent result.
Fig. 3: Pre-op (left) and post-op (right) radiograph of the patient with good/excellent result.
<b>Fig. 4</b>: Pre-op (right) and post-op (left) radiograph in-patient with poor/fair result.
Fig. 4: Pre-op (right) and post-op (left) radiograph in-patient with poor/fair result.
<b>Fig. 5</b>: Correlation of waiting period for surgery (days) with Harris Hip Score.
Fig. 5: Correlation of waiting period for surgery (days) with Harris Hip Score.
<b>Fig. 6</b>: Correlation of age and Harris Hip Score.
Fig. 6: Correlation of age and Harris Hip Score.
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References

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