Awal Hakeem, Qaisar Azim, Ahmad Jawad Mufti, Zahid Askar.
Functional and radiological outcomes of open reduction and internal fixation of acetabular fractures.
Pak J Surg Jan ;35(1):55-8.

Introduction: Acetabular trauma is a common and severe injury faced in trauma patients which are increasing in incidence. What were once managed with bed rest and traction are now better managed operatively. This study explores the outcome of fixation in these fractures. Materials & methods: This study included 30 patients, between 2014-2017. Pre-operatively the patients were classified by Judet and Leuternal classification. Post-operatively, functional outcome was measured at 6 months with Harris Hip Score along with radiological outcome by Matt a grade. Results: 30 cases were included in our study with mean age of 40.9 years with 25 male and 5 female. Road traffic accident (80%) was the most common cause of injury. Right acetabulum was involved in 21 patients while left in 9. 20 cases were elementary fractures while 10 cases were associated type. At 6 months, the mean Harris Hip score was 88.07+5.34. Radiologically, 21 patients had an anatomical grade, 8 patients had a congruent x-ray while 1 patient had incongruency Conclusion: The fracture type and the quality of reduction determines the functional outcome. The functional outcome may be indicated by the Harris Hip score. Good intraoperative and postoperative care should lead to better results in acetabular fractures.

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