Posterior wall acetabular fractures clinical outcome of surgical treatment

ABSTRACT

Fifteen patients with postterior wall acetabular fractures were treated surgically. All the fractures resulted from high energy traum a, most with associated injuries. Forteen of these patients were followed up to at least 9 months, only one was lost for follow up. Clinical outcome was analyzedd according to Harris hip score and also radiografically. In 78.4% of the patients the surgical procedure was judged successful [Harris hip score 80 points or more]. Injury of the femoral head lead to bad clinical outcome though no significant statistical correlation was possible because we had this injury just once in our series and because this case had another complication as well [Avascular necrosis of the head of femur]. Quality of reduction was found to influence the clinical outcome with positive statistical correlation. Open reduction and internal fixation of displaced posterior wall acetabular fractures though surgically demanding procedure can give very good result when patients are managed properly through experienced and organized team with clear and stable system of management