Outcome of Only Posterior Approach in Acetabular Fractures Involving Both Columns

ABSTRACT

Objective: Clinical outcome in patients with acetabular fractures involving both columns was done in civil hospital, Ahmedabad, aiming to evaluate the efficacy of posterior approach and its radiological and functional outcome.Quality of reduction directly correlates with functional outcomes and increases rate of anatomical reduction when performed <2 weeks. (p<0.05) Materials and methods: 20 cases were included with both column fractures. T-fractures and severely displaced both column with spur sign were excluded. Preoperative radiographs and CT scan were done to evaluate the fracture. Timing of surgery was noted. Surgery was performed under fluoroscopic guidance.Follow-up radiographs and functional status was assessed using Harris hip score. Result: Majority of the patients i.e., 12 out of 20 patients had Harris Hip score >90 after 6 months of the post-op. 4 patients had satisfactory score of 70- 90. 4 patients had poor outcome with score <60. Follow-up radiographs showed good reduction maintenance and union in 15 patients (75%). Conclusion: Its suggested that acetabular fractures involving both columns (excluding severely displaced both column and T fractures) can be managed by a single posterior approach with good clinical outcome along with lesser soft tissue complications and lesser hospital stay.