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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | FUNCTIONAL AND RADIOLOGICAL OUTCOME OF SURGICALLY CORRECTED POSTERIOR COLUMN WITH WALL ACETABULAR FRACTURES A SHORT-TERM FOLLOW UP |
| Authors Name: | VIRAJ NALAM , VIGNESH GADUPUDI |
| Unique Id: | IJSDR2211080 |
| Published In: | Volume 7 Issue 11, November-2022 |
| Abstract: | INTRODUCTION Incidence of pelvic fractures is 37 per 1 lakh population per year. Among them acetabular fractures account to around 3 per lakh population. Due to high energy injuries in younger individuals polytrauma is frequently associated which affects morbidity of the patient significantly whereas older individuals present with an isolated acetabular fracture. Acetabulum being important weight beaing surface of hip joint, fixation of these fractures are extremely important to provide congruous stable painless hip joint to provide early mobilization and to avoid secondary osteoarthritis. AIM To study the clinical and radiological outcomes after the posterior wall with column acetabular fractures corrected by surgical fixation. MATERIALS AND METHODS The purpose of this prospective clinical observation was to evaluate outcomes in patients with acetabular fracture treated surgically. We analysed 11 displaced acetabular fractures managed surgically between 2018 - 2020 in SRMC, Chennai. Patients were followed for a period of 6months- 12 months; without any patient lost to follow- up. Outcome in these patients was evaluated using Harris Hip Score ( HHS) and Matta radiological criteria. RESULTS Of the total of 11 patients, 11 were followed for a mean of 1year; none were lost to follow- up postoperatively. Dislocation of the hip was recorded in 6 patients. 3 foot drops observed in my study were preoperatively associated and n o iatrogenic foot drop occurred. All three cases associated with hip dislocations. Surgical site infection occurred in two cases. No any implant failure or non- union observed in my study. The results according to the modified MERLE D’ AUBIGNÉ AND POSTEL SCORING SYSTEM was excellent in 3 patients, very good in 2 patients , good in 4 patients, fair in 1 and poor in 1 . Mean HARRIS HIP SCORE at end of 3mon/ 6mon/ 12mon was 47.08/ 64.18/87.45 CONCLUSION Gold standard treatment is open reduction and internal fixation in dedicated centers by experienced surgeons as soon as possible. Early intervention in case of hip dislocation is important to prevent the chondral damage. Early ORIF is necessary to provide accurate anatomic reduction and joint congruency which can prevent or delay future requirement of THA. Posterior wall and dome of acetabulum parts are most important to reconstruct as they are the weight bearing structures. Associated injuries must be addressed well to improve the overall functional scores. Poor functional results are due to increased age/delay in surgery/complex fracture/ associated transverse component fracture/inappropriate reduction/dome incongruency/polytrauma . |
| Keywords: | POSTERIOR COLUMN , ACETABULAR FRACTURES, |
| Cite Article: | "FUNCTIONAL AND RADIOLOGICAL OUTCOME OF SURGICALLY CORRECTED POSTERIOR COLUMN WITH WALL ACETABULAR FRACTURES A SHORT-TERM FOLLOW UP", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 11, page no.525 - 603, November-2022, Available :http://www.ijsdr.org/papers/IJSDR2211080.pdf |
| Downloads: | 000337075 |
| Publication Details: | Published Paper ID: IJSDR2211080 Registration ID:202632 Published In: Volume 7 Issue 11, November-2022 DOI (Digital Object Identifier): http://doi.one/10.1729/Journal.32129 Page No: 525 - 603 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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