Abstract
Seventy-two displaced acetabular fractures managed surgically were evaluated retrospectively.
The follow-up period was 10 (6–14) yr. The commonest fractures were posterior wall
(28) and both columns (10). The surgical approaches were Kocher–Langenbeck (47), ilioinguinal
(19) and extended iliofemoral (6). No neural monitoring was used in operations and
no preventive agents for heterotopic ossification or thromboembolism were used perioperatively.
Reduction was rated congruent in 59 (81.9%) and noncongruent in 13 (18.1%). The early
postoperative complications were 1 vascular injury, 1 iatrogenic sciatic nerve injury,
1 deep vein thrombosis and 2 wound infections. The late complications were heterotopic
ossification in 20 patients, avascular necrosis of the femoral head in 4 and symptomatic
arthritis in 10. Functional outcomes were rated as excellent in 31, good in 23, fair
in 7 and poor in 11. Our results show that traditional management is effective enough
for displaced acetabular fractures.
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Article info
Publication history
Accepted:
October 18,
1999
Identification
Copyright
© 2000 Published by Elsevier Inc.
