Results of Operative Treatment of Acetabular Fractures from the Third World--how Local Factors Affect the Outcome

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2007 Oct 18

PMID 17940767

Citations 26

Authors

Ravi K Gupta

Harmeet Singh

Bias Dev

Rajeev Kansay

Parmanand Gupta

Sudhir Garg

Affiliations

Soon will be listed here.

Abstract

The objective of this study was to assess the outcome of operations on acetabular fractures from a developing country in the presence of locally available facilities. Sixty-three acetabular fractures were assessed at an average follow up of 52.94 months after operation. Twenty-six patients operated upon in the first three years and 37 operated thereafter were separately studied to discover the effect of the learning curve. Regarding the fractures, 47 of 63 (74.6%) had excellent/good results (Harris Hip Score>80). The complications included broken drill bit in eight patients (12.69%), deep infection and heterotopic ossification in five patients (7.93%), avascular necrosis and sciatic nerve palsy in two patients (3.17%) and implant failure in one patient (1.58%). The results collected during the learning curve were inferior in the complex fractures (p value<0.001). Complications were common in patients opting for local implants and in those operated after over 2 weeks delay.

Citing Articles

Reconstruction of unfixable comminuted posterior wall acetabular fractures with autologous bone graft: A systematic review.

Giai Via R, Giachino M, Elzeiny A, Cipolla A, Marino A, DAmelio A J Orthop. 2024; 63:21-26.

PMID: 39530045 PMC: 11550724. DOI: 10.1016/j.jor.2024.10.034.

Acetabular fracture in India: An epidemiological study.

Sen R, Trikha V, Meena U, Perumal R, Tripathy S, Mahesh M J Clin Orthop Trauma. 2024; 56:102540.

PMID: 39328296 PMC: 11422141. DOI: 10.1016/j.jcot.2024.102540.

Global Health Inequities in Orthopaedic Care: Perspectives Beyond the US.

DeMaio E, Marra G, Suleiman L, Tjong V Curr Rev Musculoskelet Med. 2024; 17(11):439-448.

PMID: 39240419 PMC: 11465105. DOI: 10.1007/s12178-024-09917-8.

Systems issues limiting acute fracture care delivery at a tertiary care hospital in Northern Tanzania.

Morgan-Asiedu P, Fryhofer G, Hardaker W, Premkumar A, Shin M, Ramesh S Pan Afr Med J. 2024; 48:29.

PMID: 39220554 PMC: 11364886. DOI: 10.11604/pamj.2024.48.29.41286.

A Neglected Fracture of Acetabulum Treated With Total Hip Replacement.

Patil V, Shevate I, Pervez F, Bhakare D Cureus. 2024; 16(6):e61778.

PMID: 38975433 PMC: 11227437. DOI: 10.7759/cureus.61778.

References

Matta J . Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am. 1996; 78(11):1632-45. View

Fica G, COrdova M, Guzman L, Schweitzer D . Open reduction and internal fixation of acetabular fractures. Int Orthop. 1999; 22(6):348-51. PMC: 3619685. DOI: 10.1007/s002640050275. View

Bosse M, Poka A, Reinert C, Ellwanger F, Slawson R, McDevitt E . Heterotopic ossification as a complication of acetabular fracture. Prophylaxis with low-dose irradiation. J Bone Joint Surg Am. 1988; 70(8):1231-7. View

Kumar A, Shah N, Kershaw S, Clayson A . Operative management of acetabular fractures. A review of 73 fractures. Injury. 2005; 36(5):605-12. DOI: 10.1016/j.injury.2004.11.022. View

Heeg M, Klasen H, VISSER J . Operative treatment for acetabular fractures. J Bone Joint Surg Br. 1990; 72(3):383-6. DOI: 10.1302/0301-620X.72B3.2341432. View

Rommens P, Broos P, Vanderschot P . [Preparation and technique for surgical treatment of 225 acetabulum fractures. 2 year results of 175 cases]. Unfallchirurg. 1997; 100(5):338-48. DOI: 10.1007/s001130050128. View

Brooker A, Bowerman J, Robinson R, RILEY Jr L . Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973; 55(8):1629-32. View

Ward D, Bircher M . The early management of pelvic and acetabular fractures. Injury. 1996; 27 Suppl 1:S-A24-8. DOI: 10.1016/0020-1383(96)83791-0. View

Matta J, Mehne D, Roffi R . Fractures of the acetabulum. Early results of a prospective study. Clin Orthop Relat Res. 1986; (205):241-50. View

10.

Holdsworth F . Dislocation and fracture-dislocation of the pelvis. J Bone Joint Surg Br. 1948; 30B(3):461-6. View

11.

Tornetta 3rd , Mostafavi . Hip Dislocation: Current Treatment Regimens. J Am Acad Orthop Surg. 1997; 5(1):27-36. DOI: 10.5435/00124635-199701000-00004. View

12.

Harris W . Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969; 51(4):737-55. View

13.

Ghalambor N, Matta J, Bernstein L . Heterotopic ossification following operative treatment of acetabular fracture. An analysis of risk factors. Clin Orthop Relat Res. 1994; (305):96-105. View

14.

Latenser B, Gentilello L, Tarver A, Thalgott J, BATDORF J . Improved outcome with early fixation of skeletally unstable pelvic fractures. J Trauma. 1991; 31(1):28-31. DOI: 10.1097/00005373-199101000-00006. View

15.

Brueton R . A review of 40 acetabular fractures: the importance of early surgery. Injury. 1993; 24(3):171-4. DOI: 10.1016/0020-1383(93)90285-e. View

16.

Helfet D, Schmeling G . Management of complex acetabular fractures through single nonextensile exposures. Clin Orthop Relat Res. 1994; (305):58-68. View

17.

Deo S, Tavares S, Pandey R, Willett K, Worlock P . Operative management of acetabular fractures in Oxford. Injury. 2001; 32(7):581-6. DOI: 10.1016/s0020-1383(00)00200-x. View

18.

Kebaish A, Roy A, Rennie W . Displaced acetabular fractures: long-term follow-up. J Trauma. 1991; 31(11):1539-42. View

19.

Kaempffe F, Bone L, BORDER J . Open reduction and internal fixation of acetabular fractures: heterotopic ossification and other complications of treatment. J Orthop Trauma. 1991; 5(4):439-45. DOI: 10.1097/00005131-199112000-00009. View

20.

Pennal G, Davidson J, Garside H, Plewes J . Results of treatment of acetabular fractures. Clin Orthop Relat Res. 1980; (151):115-23. View