Early Surgical Intervention and Functional Outcome in Acetabulum Fracture
Journal Title: Journal of Orthopedics & Rheumatology - Year 2016, Vol 3, Issue 2
Abstract
Aim of the study: To analyse the relationship between early surgical intervention and post-operative functional outcomes in acetabular fracture incidences. Time to surgery is a predictor of radiological and functional outcome for both simple and complex patterns of fracture. Methods: This is a cross sectional study done in a tertiary hospital for patient who have sustained acetabular fractures between January2011 and December 2013 and had undergone surgical intervention, with a minimum follow-up duration of 1 year. Results: This study involved 47 cases where the mean age was 35.6 years old. For simple fractures, an increase in the time to surgery ofone day reduced on average, the Harris Hip Score by 1.5 points. Whilst for complex fractures, reduction in the Harris Hip Score averaged 1.87 points daily. When time was measured as a categorical variable, an anatomical reduction was more likely if surgery was performed within 15 days (simple) and 5 days (complex). An excellent/good functional outcome was more likely when surgery was performed within 8 days for both simple and complex fracture patterns. Conclusions: The time to surgery is a significant predictor of radiological, functional outcome and post operative stay for both simple and complex displaced fractures of the acetabulum. The organisation of regional trauma services must be capable of satisfying these time-dependent requirements to achieve optimal patient outcomes.
Authors and Affiliations
Gunaseelan P
Keywords
Related Articles
- EP ID EP208551
- DOI 10.13188/2334-2846.1000024
- Views 99
- Downloads 0
Predictors of Mechanical Failure Rate in Reduction of Intertrochanteric Fracture of the Femur Using Proximal Femoral Nail with Helical Blade
Background: The optimal implant for reducing intertrochanteric fracture is unknown. Several bone-related, implant-related and radiological variables seem to play a role in predicting the rate of intraoperative and postop...
The Dynamic Duo–Inflammatory M1 macrophages and Th17 cells in Rheumatic Diseases
The synovial tissue of Rheumatoid Arthritis (RA) patients is enriched with macrophages and T lymphocytes which are two central players in the pathogenesis of RA. Interaction between myeloid cells and T cells are essentia...
An Effective Non-Invasive Joint Distraction Technique for Ankle Arthroscopy
Both invasive and non-invasive methods of ankle joint distraction for arthroscopic procedures have been described. Challenges prevail in achieving an adequate joint distraction for instrumentation inside the ankle joint...
Muscular Dystrophy during Osteoarthritic Disorder: A Novel Diagnostic Protocol Evidenced by Biochemical and Anatomical Parameters
Background: Muscular Dystrophy during Osteoarthritic Disorder (MD-OAD) is a group of disorders characterized by muscle wasting, weakness and degeneration along with potential loss of joint cartilage, bone hypertrophy, pa...
Lumbar Epidural Injections: Review of Efficacy and Discussion of Practice Options
Background: In the United States, low back pain remains a common problem and a number one reason to see a physician in the outpatient setting. Etiology is complex and likely multifactorial and includes; degenerative disc...