Surgical management of displaced acetabular fractures: mid-term results
Aksekili, Mehmet Akif Erol
Arslan, Arslan Kağan
Öçgüder, Durmuş Ali
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The purpose of the study was to present midterm results of surgically treated 33 patients with displaced acetabular fracture. 33 patients with displaced acetabular fracture were consecutively operated from January 1, 2005 through December 31, 2010, and 33 were available for review with a minimum of 12- month follow-up. Clinical (Merle D’Aubigné modified by Matta et al.,) and radiographic (Matta) outcomes were evaluated. Complications due to the fracture and operation were documented. Anatomical reduction was achieved in 61% of patients. Post operative follow up period was 12- 72 months (mean 38.5 months). Clinical results were satisfactory in 76% of patients. Roentgen graphic results were satisfactory in 69% of patients. Complications included sciatic nerve palsy with a rate of 11%, infection with a rate of 6%, heterotopic ossification (Brooker et al., 1973) with a rate of 15%, posttraumatic osteoarthritis with a rate of 18%, and avascular necrosis of the femoral head with a rate of 12%. Despite surgical intervention is an effective method in treatment of deplaced acetabular fractures; we are facing lots of complications. Standard approaches are sufficient in treatment of complex acetabular fractures in most of the cases, and extended approaches should be avoided to minimize probable complications.