Résumé
Objective: To determine the functional and radiologic results of surgical treatment in patients with acetabular Fractures
Methods: This was a retrospective cross-sectional study. We retrospectively reviewed medical records of patients operatively treated acute acetabular fractures at a level I trauma center [Shahid Rajaee] and an orthopedic center [Shahid Chamran] both in southern Iran [Shiraz] with minimally 1 year follow up over a period of 7 years from April 2009 to March 2016. Functional and radiographic outcomes, and complication were considered as main outcomes
Results: A total number of 79 patients completed the study. Fifty-five patients were operated through Kocher-Langenbeck approach, and 18 were operated through the standard ilioinguinal approach, and 6 patients were operated through the standard ilioinguinal approach combined with Kocher-Langenbeck approach. The mean follow-up of patients was 45.6 months. The average operative time was 162.4 +/- 78.5 min, and the median blood loss was 500 ml. Functional results were excellent in 41 patients [51.9%], good in 12 [15.2%], fair in 13 [16.5%], and poor in 13 patients [16.5%]. Radiologic results were excellent in 27 cases [34.2%], good in 17 cases [21.5%], fair in 18 cases [22.8%], and poor in 16 [16.5%]. Osteoarthritis of hip [60.8%] and AVN of head of femur [22.8%] were two most common complications. In addition, there wasn't any significant difference between surgical approaches regarding clinical and radiographic outcomes
Conclusion: The operative treatment for acetabular fractures gives universally satisfactory results. Thereafter, this study provides evidence that ilioinguinal approach is a good choice for anterior fractures, Kocher-Langenbeck is a good choice for posteriors fractures, and combined approach may be a good choice in the mmanagement of acetabular fractures involving two columns