Management of acetabular wall fractures with hip dislocation: A case series
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction: Posterior wall fractures are the most common type of acetabular fractures. Comminuted fractures with extensions to acetabular roof are associated with poor prognosis. Accurate evaluation of resuting union and likelihood of future arthritis or AVN of femoral head are also hindered. Materials and methods: We report a case series of 9 cases with posterior wall acetabulum fractures associated with posterior dislocation of femoral head treated with internal fixation of posterior wall by three step reonstruction-1)open reduction of dislocation, 2)preservation of soft tissues and reconstruction of marginally impacted and osteochondral fragments using screws, 3)final reinforcement with buttress plating. Functional outcome was evaluated according to D’aubigne and Postel criteria and radiological outcome by criteria of Matta. Results: According to criteria of Matta 44% had excellent, 34% had good and 22% had fair results. According to D’aubigne and Postel criteria 50% had excellent results, 37.5% had good results, 12.5 % had fair results. None of the cases had heterotrophic ossification. Wound site infection eas the only complication encountered. Conclusion: We conclude that this three step rconstruction procedure in management of posterior wall acetabular fracture with posterior dislocation of femoral head results in satisfactory functional and radiological outcome without complications.
Authors and Affiliations
Dr. Romeet Mukherjee, Dr. Muthu Manickam, Dr. N Jambu
Keywords
Related Articles
- EP ID EP487829
- DOI 10.22271/ortho.2018.v4.i4e.44
- Views 123
- Downloads 0
Clinical and radiological outcome of lateral end clavicle fractures treated with locking compression plate: Prospective study of 19 cases
Background & Objectives: Roughly a quarter of all clavicle fractures occur at the lateral end. Displaced fractures of the lateral end clavicle have a higher rate of nonunion. The management of fractures of the lateral en...
Functional outcome of patients with osteoarthrosis of knee in south Indian population treated with total knee arthroplasty using all polyethylene tibial component: A prospective analysis
Introduction: Osteoarthrosis is the commonest of all joint diseases. Degenerative arthritis of the knee is a common affliction in our Indian population with major functional, medical, psychosocial and financial effects o...
A comparative study between swashbuckler approach (Modified Anterior Approach) and lateral approach for the distal femur fractures
Background: Distal femur fractures with intra-articular extension and comminution are challenging injuries, fraught with complications such as mal-union and stiffness. We prospectively evaluated and compared a consecutiv...
Functional outcome of displaced proximal humerus fractures treated conservatively versus open reduction internal fixation with locking compression plate
Introduction: The field of orthopedic surgery has been in the vanguard in creating new information, establishing new principles of treatment and solving both new and old problems of musculoskeletal system. Fractures of p...
A comparative study of functional outcome of distal tibial extra-articular fracture fixed with intramedullary interlocking nail versus locking compression plate
Background: Distal metaphysical fracture of the tibia has been a challenging situation when mostly treated with Plaster of Paris casts, resulting in ankle and knee stiffness and prolonged immobilization. This affecting q...