Outcome of Surgical Treatment for Displaced Acetabular Fractures

• Main Authors: A Anizar-Faizi, A Hisam, KP Sudhagar, M Moganadass, C Suresh
• Format: Article
• Language: English
• Published: Malaysian Orthopaedic Association 2014-11-01
• Series: Malaysian Orthopaedic Journal
• Subjects: Acetabular fracture; outcome; Harris Hip Score
• Online Access: http://morthoj.org/2014/v8n3/displaced-acetabular-fractures.pdf

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.