Fucntional and Radiological Outcome of Surgical Management of Acetabular Fractures in Tertiary Care Hospital
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: Acetabular fractures are mainly caused by trauma and the incidence is rising in developing countries. Initially these fractures were managed conservatively, due to lack of specialized and dedicated acetabulum surgery centres. Our aim is to study the radiological and functional outcomes of surgical management of acetabular fractures in tertiary care hospital. Materials and Methods: Total 50 patients were enrolled. The patients with acetabular fractures were enrolled between the years 2012 to 2014. Patients were evaluated clinically with Harris hip score (HHS) and radiologically with Matta outcome grading. The factors examined include age, gender, fracture pattern, time between injury and surgery, initial displacement and quality of reduction on the final outcome. Results: There were 34 males and 16 females. Mean age was 44.20±11.65 years while mean duration of stay was 9.28±2.36 days. Duration of follow-up was 24 months. M ost common mechanism of injury was motor vehicle accident (n=37, 74.0%). Open reduction and internal fixation of fractures were performed using reconstruction plates. Mean HHS at 24 months was 82.36±8.55. The clinical outcome was acceptable (excellent or good) in 35 (70.0%) cases and not acceptable (fair or poor) in 15 (30.0%) cases. The radiological outcome was anatomical in 39 (78.0%) cases, congruent in 5 (10.0%) cases, incongruent in 6 (12.0%) cases. Conclusion: Study results indicated that mechanism of injury, time between injury and surgery, initial degree of displacement and quality of reduction had significant effect on functional as well as radiological outcome.
Abstract
Purpose: Acetabular fractures are mainly caused by trauma and the incidence is rising in developing countries. Initially these fractures were managed conservatively, due to lack of specialized and dedicated acetabulum surgery centres. Our aim is to study the radiological and functional outcomes of surgical management of acetabular fractures in tertiary care hospital. Materials and Methods: Total 50 patients were enrolled. The patients with acetabular fractures were enrolled between the years 2012 to 2014. Patients were evaluated clinically with Harris hip score (HHS) and radiologically with Matta outcome grading. The factors examined include age, gender, fracture pattern, time between injury and surgery, initial displacement and quality of reduction on the final outcome. Results: There were 34 males and 16 females. Mean age was 44.20±11.65 years while mean duration of stay was 9.28±2.36 days. Duration of follow-up was 24 months. M ost common mechanism of injury was motor vehicle accident (n=37, 74.0%). Open reduction and internal fixation of fractures were performed using reconstruction plates. Mean HHS at 24 months was 82.36±8.55. The clinical outcome was acceptable (excellent or good) in 35 (70.0%) cases and not acceptable (fair or poor) in 15 (30.0%) cases. The radiological outcome was anatomical in 39 (78.0%) cases, congruent in 5 (10.0%) cases, incongruent in 6 (12.0%) cases. Conclusion: Study results indicated that mechanism of injury, time between injury and surgery, initial degree of displacement and quality of reduction had significant effect on functional as well as radiological outcome.
참고문헌 (23)
- Rao VS, "Results of surgically treated displaced acetabular fractures among adults", Clin Proc NIMS, 17, pp.2~ (2008)
- Ghaffar A, "The burden of road traffic injuries in developing countries : the 1st national injury survey of Pakistan", Public Health, 118, pp.211~217 (2004)
- Khan SH, "Functional outcome of surgery in patients with acetabular fractures", J Ayub Med Coll Abbottabad, 25, pp.60~63 (2013)
- Pohlemann T, "Complex injuries of the pelvis and acetabulum", Orthopade, 27, pp.32~44 (1998)
- Glas PY, "Surgical treatment of acetabular fractures : outcome in a series of 60 consecutive cases", Rev Chir Orthop Reparatrice Appar Mot, 87, pp.529~538 (2001)
- Giannoudis PV, "Advances in pelvic and acetabular surgery", Injury, 38, pp.395~396 (2007)
- Letournel E, "Acetabulum fractures : classification and management", Clin Orthop Relat Res, 151, pp.81~106 (1980)
- Judet R, "Fractures of the acetabulum:classification and surgical approaches for open reduction. Preliminary report", J Bone Joint Surg Am, 46, pp.1615~1646 (1964)
- Matta JM, "Fractures of the acetabulum : accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury", J Bone Joint Surg Am, 78, pp.1632~1645 (1996)
- Matta JM, "Fractures of the acetabulum. Early results of a prospective study", Clin Orthop Relat Res, 205, pp.241~250 (1986)
- Shrestha D, "Acetabular fracture : Retrospective analysis of thirty three consecutive cases with operative management", Kathmandu Univ Med J(KUMJ), 12, pp.279~287 (2014)
- Gupta RK, "Results of operative treatment of acetabular fractures from the Third World--how local factors affect the outcome", Int Orthop, 33, pp.347~352 (2009)
- Magu NK, "Conservatively treated acetabular fractures : A retrospective analysis", Indian J Orthop, 46, pp.36~45 (2012)
- Marchetti P, "Long-term results with cementless Fitek(or Fitmore)cups", J Arthroplasty, 20, pp.730~737 (2005)
- "Acetabulum fractures" (2016)[URL]
- Hui Taek Kim, "Reconstruction of Acetabular Posterior Wall Fractures", Clinics in Orthopedic Surgery, 3(2), pp.114~120 (2011), 대한정형외과학회
- Lehmann W, "What is the frequency of nerve injuries associated with acetabular fractures?", Clin Orthop Relat Res, 472, pp.3395~3403 (2014)
- Suzuki T, "Postoperative surgical site infection following acetabular fracture fixation", Injury, 41, pp.396~399 (2010)
- Meena UK, "Predictors of postoperative outcome for acetabular fractures", Orthop Traumatol Surg Res, 99, pp.929~935 (2013)
- O’Toole RV, "How often does open reduction and internal fixation of geriatric acetabular fractures lead to hip arthroplasty?", J Orthop Trauma, 28, pp.148~153 (2014)
- Hussain KSA, "Analysis of displaced acetabular fractures in adults treated with open reduction and internal fixation", Int J Res Orthop, 2, pp.99~103 (2016)
- Moed BR, "Functional outcomes of acetabular fractures", J Bone Joint Surg Am, 85-A, pp.1879~1883 (2003)
- Kreder HJ, "Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall", J Bone Joint Surg Br, 88, pp.776~782 (2006)