Iqbal Faizan, Taufiq Intikhab, Najjad Muhammad Kazim Raheem, Khan Naveed, Zia Osama Bin
Department of Orthopedic Surgery, Liaquat National Hospital, Karachi, Pakistan.
Hip Pelvis. 2016 Dec;28(4):217-224. doi: 10.5371/hp.2016.28.4.217. Epub 2016 Dec 28.
Acetabular fractures are mainly caused by trauma and the incidence is rising in developing countries. Initially these fractures were managed conservatively, due to lack of specialized and dedicated acetabulum surgery centres. Our aim is to study the radiological and functional outcomes of surgical management of acetabular fractures in tertiary care hospital.
Total 50 patients were enrolled. The patients with acetabular fractures were enrolled between the years 2012 to 2014. Patients were evaluated clinically with Harris hip score (HHS) and radiologically with Matta outcome grading. The factors examined include age, gender, fracture pattern, time between injury and surgery, initial displacement and quality of reduction on the final outcome.
There were 34 males and 16 females. Mean age was 44.20±11.65 years while mean duration of stay was 9.28±2.36 days. Duration of follow-up was 24 months. Most common mechanism of injury was motor vehicle accident (n=37, 74.0%). Open reduction and internal fixation of fractures were performed using reconstruction plates. Mean HHS at 24 months was 82.36±8.55. The clinical outcome was acceptable (excellent or good) in 35 (70.0%) cases and not acceptable (fair or poor) in 15 (30.0%) cases. The radiological outcome was anatomical in 39 (78.0%) cases, congruent in 5 (10.0%) cases, incongruent in 6 (12.0%) cases.
Study results indicated that mechanism of injury, time between injury and surgery, initial degree of displacement and quality of reduction had significant effect on functional as well as radiological outcome.
髋臼骨折主要由外伤引起，在发展中国家其发病率呈上升趋势。最初，由于缺乏专业的髋臼手术中心，这些骨折采用保守治疗。我们的目的是研究三级医疗医院中髋臼骨折手术治疗的放射学和功能结果。
共纳入50例患者。髋臼骨折患者于2012年至2014年期间入组。采用Harris髋关节评分（HHS）对患者进行临床评估，采用Matta结果分级进行放射学评估。研究的因素包括年龄、性别、骨折类型、受伤与手术之间的时间、初始移位以及最终结果的复位质量。
男性34例，女性16例。平均年龄为44.20±11.65岁，平均住院时间为9.28±2.36天。随访时间为24个月。最常见的受伤机制是机动车事故（n = 37，74.0%）。使用重建钢板对骨折进行切开复位内固定。24个月时的平均HHS为82.36±8.55。35例（70.0%）患者的临床结果可接受（优秀或良好），15例（30.0%）患者的临床结果不可接受（一般或差）。放射学结果为解剖复位的有39例（78.0%），匹配的有5例（10.0%），不匹配的有6例（12.0%）。
研究结果表明，受伤机制、受伤与手术之间的时间、初始移位程度以及复位质量对功能和放射学结果均有显著影响。
