Results of conservative management of fracture Acetabulum.

Dr. Sachin Joshi; Dr. Navneet Nagar; Dr. Vijay kumar Meena

Volume : IX, Issue : VI, June - 2020

Results of conservative management of fracture Acetabulum.

Dr. Sachin Joshi, Dr. Navneet Nagar, Dr. Vijay Kumar Meena

Abstract :

In today�s era of high energy trauma, the incidence of high velocity injuries and poly-trauma are on the rise and involvement of the acetabulum with central fracture-dislocation of the hip are encountered. Aims and objectives: present study aims to evaluate radiological and functional out come in non- operatively treated central fracture-dislocations of the hip. Material and method: 25 patients with central fracture-dislocation of the hip were taken up for the study. Cases with fracture pelvis not involving the acetabulum were excluded. Threaded pin was applied over the trochanteric base for lateral traction ; lateral traction was applied with 15Kg weight for an average built patient X-rays were evaluated for reduction by Tear drop, Iliopectineal line, C E angle of Weiberg on AP view and pubic symphysis (mid line) to femoral head distance as compared to the normal side. Monthly follow up was done for three months and evaluated radiologically and clinically. The clinical outcome is assessed by using the Modified Merle D� Abigne and Postel clinical grading system. Results: 80% patients were of age group 21-50 years. RTA is main cause of trauma. Average final score was less in patients with high initial displacement and score was greater in patients with low initial displacement (P-0.0001). Patients with low residual displacement had high clinical score and good results and vice-versa (P=0.0001). 64 %patients had correction in the immediate check X-ray in the range of 51-60 %. There is correlation between pattern of injury and final clinical score (P=0.0001) and average residual displacement(P = 0.0001). patients with low final follow up LLD had higher average clinical score and better results and vice-versa(0.0001). The good and very good category cases were group together came out to be 76%. All patients with satisfactory results had less residual displacement. Patients with unsatisfactory results had high residual displacement. Conclusions: Traction treatment is a safe, effective and practically feasible modality of managing central fracture-dislocation of acetabulum.