Authors : Ahmad Radaideh, Hashem Qudah, Diab Bani Hani, Ala`a Alhowary, Ziad Audat, Kkhaldoon Bashaireh, Ali Al-omari, Ziad Mohaidat, Mohammad Algharibeh and Ahmad Obeidat
Abstract: To assess the functional outcome of early surgical fixation for displaced acetabular fractures and the possible complications associated with the procedure, we evaluated a consecutive series of 30 patients who underwent open reduction and internal fixation for displaced acetabular fractures at our institution. Between April 2013 and August 2017, thirty patients, 24 male and 6 female with a mean age of 37.2 years (range, 15-61) with displaced acetabular fractures were fixed with the plate osteosynthesis and they were retrospectively evaluated. Demographic and perioperative data, fracture pattern, surgical approach and complications were recorded. Simple fractures were noticed in 19 (63.3%) patients and associated fractures in 11 (36.6%). The mean time to surgery was 5.9 days (range, 1-21). About 29 patients (96.6%) were operated within 2 weeks of injury. Ilio-inguinal approach was used in 14 (46.6%) patients, Kocher-Langenback in 13 (43.3%). The twenty eight out of thirty patients were followed for a mean of 2.7 years (range, 6 months to 3.58 years). At final follow up, solid union of all fractures had been achieved. The mean Harris Hip Score (HHS) was 89.2±7.2 points. The clinical outcome was good to excellent in 24 patients (85.7%). Postoperative complications were superficial infection (3.3%), deep infection (3.3%), hip osteoarthritis (6.6%), heterotopic ossification (3.3%) and osteonecrosis (3.3%). In conclusion, early surgical treatment of displaced acetabular fractures will result in good functional outcome despite the presence of anticipated complications.
Ahmad Radaideh, Hashem Qudah, Diab Bani Hani, Ala`a Alhowary, Ziad Audat, Kkhaldoon Bashaireh, Ali Al-omari, Ziad Mohaidat, Mohammad Algharibeh and Ahmad Obeidat, 2018. Functional Outcome of the Surgical Treatment of Displaced Acetabular Fractures. Research Journal of Medical Sciences, 12: 26-30.