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Complications in patients of acetabular fractures and the factors affecting the quality of reduction in surgically treated cases.


ABSTRACT: Introduction:Acetabulum fractures, though relatively uncommon, are associated with significant morbidity and mortality. These involve high energy trauma and due to their complex nature, the management requires understanding the relevant surgical anatomy, defining the injury via appropriate radiographic assessment and determining a suitable treatment plan. Literature is scarce for the demographic data, fracture patterns, associated injuries, management and early complications in the Indian scenario. These factors play a pivotal role in the ultimate recovery of the patients. Therefore this study was conceptualised to assess the epidemiology and evaluate the complications of these fractures. Furthermore the effects of various factors determining the quality of reduction in surgically treated patients were also assessed. Methodology:This was a prospective observational study in which patients presenting to the advance trauma centre of our institute with acetabulum fractures were included. Demographical data of the patients, mechanisms of injuries, fractures morphologies, complications and radiological outcomes were recorded prospectively. Results:116 patients with acetabular fractures were included in the study. 81% of these were males, with average age of 39.95?±?15.87 years; with road traffic accidents being the predominant mode of injuries. Mortality was reported in 5 patients; 4 patients had deep venous thrombosis and sciatic nerve injuries were seen in 12 patients of which 4 were iatrogenic. 8 patients had some form of infection, out of which 4 required multiple debridements. 4 cases developed heterotrophic ossification while 2 cases had loss of reduction. The timing of surgery and other associated fractures had significant effect on the quality of reduction (p?

SUBMITTER: Jindal K 

PROVIDER: S-EPMC6739298 | biostudies-literature | 2019 Sep-Oct

REPOSITORIES: biostudies-literature

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Complications in patients of acetabular fractures and the factors affecting the quality of reduction in surgically treated cases.

Jindal Karan K   Aggarwal Sameer S   Kumar Prasoon P   Kumar Vishal V  

Journal of clinical orthopaedics and trauma 20190222 5


<h4>Introduction</h4>Acetabulum fractures, though relatively uncommon, are associated with significant morbidity and mortality. These involve high energy trauma and due to their complex nature, the management requires understanding the relevant surgical anatomy, defining the injury via appropriate radiographic assessment and determining a suitable treatment plan. Literature is scarce for the demographic data, fracture patterns, associated injuries, management and early complications in the India  ...[more]

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