6. Functional Outcomes of Open Reduction and Internal Fixation in Patients with Acetabular Fractures
Zulfiqar Ahmed1, Muhammad Imran Haider1, Muhammad Iqbal Buzdar1, Muhammad Badar-ud-Din Zafir2, Muhammad Asim Munir Qureshi2 and Sajid Javed3
ABSTRACT
Objective: To determine the functional outcomes of open reduction and internal fixation in patients presented with acetabular fractures.
Study Design: Prospective/observational study.
Place and Duration of Study: This study was conducted at the Department of Orthopedics, QAMC/Bahawal Victoria Hospital/Civil Hospital, Bahawalpur, Pakistan from March 2017 to February 2020.
Materials and Methods: Forty five patients of both genders with age range 20 to 65 years who presented with acetabular fractures were enrolled in this study. Patients’ detailed demographics including age, sex, body mass index and causes, and site of fractures were recorded after written consent. All patients underwent open reduction and internal fixation under general or spinal anesthesia. Radiological assessment was done. Patients followed for 1 year postoperatively. Functional outcomes were assessed by Harris Hip Scoring (HHS) system. Patient’s satisfaction was also examined at final follow-up.
Results: There were 32 (71.11%) males while 13 (28.89%) were females with mean age was 38.69±12.84 years. Falling was the most common cause found in 26 (57.76%) patients. Posterior column was the commonest type found in 25 (55.56%). At 1 year, 32 (71.11%) patients had excellent, 10 (22.22%) had good, 2 (4.44%) had fair and 1 (2.22%) had poor functional outcomes by HHS. 39 (86.68%) patients were very satisfied, 4 (8.89) patients were satisfied and 2 (4.44%) patients were not satisfied.
Conclusion: Open reduction and internal fixation surgical procedure is safe and effective for acetabular fractures with high patient satisfaction and excellent functional outcomes.
Key Words: Acetabular fractures, Open reduction and internal fixation, Functional outcomes, Patients satisfaction
Citation of article: Ahmed Z, Haider MI, Buzdar MI, Zafir MB, Qureshi MAM, Javed S. Functional Outcomes of Open Reduction and Internal Fixation in Patients with Acetabular Fractures. Med Forum 2020;31(6):26-29.