Surgical Management among Patients with Acetabular-Pelvis Fractures in a Trauma Care Centre
DOI:
https://doi.org/10.31729/jnma.6492Keywords:
acetabulum, fracture fixation, pevisAbstract
Introduction: Surgical management of pelvic and acetabular fractures due to high-energy trauma is one of the most challenging in orthopaedics. Most patients are often associated with other life-threatening injuries. Several studies demonstrated that accurate fracture reduction decreases the incidence of post-traumatic arthritis and improves functional outcomes. The aim of the study was to find out the prevalence of the surgical management among patients with acetabular-pelvis fractures in a trauma care centre.
Methods: This is a descriptive observational study conducted at a trauma hospital from 1 September 2016 to 31 August 2020. Ethical approval was obtained from the Institutional Review Committee. Patients with displaced fractures of the pelvis ring or acetabulum were included in the study whereas isolated pubic rami fractures and pathological fractures were excluded from the study. Operative plans were decided after radiographic X-rays and 3-dimensional reconstruction computed tomography scan evaluation. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Results: Among 136 patients with acetabular-pelvis fractures, 64 (47.06%) (38.67-55.45, 95% Confidence Interval) underwent surgical management. The average time duration from injury to surgery was 7 days. All patients were able to weight bear 3 months.
Conclusions: The prevalence of surgical management among patients with pelvic-acetabular fracture was found to be similar to the other studies done in similar settings.
References
Epidemiology of pelvic and acetabular trauma in a Dublin tertiary hospital: a 10-year experience Davarinos N1, Ellanti P, Morris S, Mc Elwain JP. Ir J Med Sci. 2012 Jun;181(2):243-6. Epub 2011 Dec 30 DOI FullText PubMed
Tornetta, P., 3rd, K. Dickson, and J.M. Matta, Outcome of rotationally unstable pelvic ring injuries treated operatively. Clin Orthop, 1996(329): p. 147-51. PubMed FullText DOI
Tornetta, P., 3rd and J.M. Matta, Outcome of operatively treated unstable posterior pelvic ring disruptions. Clin Orthop, 1996(329): p. 186-93. PubMed DOI FullText
Reilly, M.C., D.M. Zinar, and J.M. Matta, Neurologic injuries in pelvic ring fractures. Clin Orthop Relat Res, 1996(329): p. 28-36. PubMed DOI Fulltext
Rommens, P.M., et al., Surgical management of pelvic ring disruptions. Indications, techniques and functional results. Unfallchirurg, 1992. 95(9): p. 455-62.PubMed
Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction: preliminary report. J Bone Joint Surg Am 1964; 46-:1615-46 PubMed
Matta JM, Anderson LM, Epstein HC. Fractures of the acetabulum: a retrospective analysis. Clin Orthop 1986; 205: 230-40 PubMed
Mears DC, Velyvis JH, Chang C-P. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop 2003; 407: 173-86 PubMed DOI FullText
Shailvi Gupta MD, MPH et.al Fall Injuries in Nepal: A Countrywide Population-based Survey. Annals of Global Health Volume 81, Issue 4, July–August 2015, Pages 487-494 DOI Full Text
Elizabeth K, Tissingh Hussein Taki, Peter Hull. Corrigendum to “Pelvic and acetabular trauma” [Orthop Trauma 31 (2) (2017) 68e75] Orthopaedics and Trauma 2018; 32:5 DOI
Bircher M, Lewis A, Halder S. Delays in definitive reconstruction of complex pelvic and acetabular fractures. J Bone Joint Surg Br. 2006 Sep; 88(9): 1137-40 PubMed DOI FullText
Anizar-Faizi, MD et.al Outcome of Surgical Treatment for Displaced Acetabular Fractures. Malaysian Orthopaedic Journal 2014 Vol 8 No 3 PubMed DOI FullText
Johnson EE, Matta JM, Mast JW, Letournel E. Delayed reconstruction of acetabular fractures 21–120 days following injury. Clin Orthop Relat Res 1994; 305: 20–30 PubMed
Giannoudis PV, Grotz MR & Papakostidis C. Operative treatment of displaced fractures of the acetabulum, a meta-analysis. J Bone Joint Surg Br 2005; 87-24-9 PubMed
Kamarul Izham Kamarudin et.al. Incidence of sciatic nerve palsy associated with reconstruction plate fixation of posterior wall and posterior column of acetabulum through posterior approach and its prognosis. MOJ Orthop Rheumatol. 2018;10(6):350?353 Full Text DOI
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Yogendra Agrahari, Marie Joey Lambaco Agrahari, Sangita Karki Kunwor
This work is licensed under a Creative Commons Attribution 4.0 International License.
JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.
