Short-term follow-up of anterior and posterior both column fractures of acetabulum managed through both column plating.

OBJECTIVE

To evaluate the results of short-term follow-up of patients of both column acetabular fractures managed through anterior and posterior column plating.

INTRODUCTION

Both column acetabular fractures are challenging articular injuries. Majority of them are treated operatively. The concept of "secondary congruence" was introduced by Letournel. Despite this, biomechanical data on secondary congruence indicate that nonoperative treatment leads to an increase in peak pressures in the supraacetabular region with the potential risk of developing posttraumatic degenerative osteoarthritis. Operative management is therefore justified.

METHODOLOGY

A cohort of 10 patients having both column (anterior and posterior) acetabular fractures managed using bicolumnar plating between January 2016 and December 2017 were enrolled in the study and were analyzed during follow-up period.

RESULTS

In total, 80% of the patients had excellent to good result. Average postoperative score was 85.7. Assessment was done using modified Harris Hip score.