Resultado do tratamento cirúrgico de fraturas acetabulares desviadas: estudo prospectivo

摘要

Objective The aim of this study was to evaluate the functional outcome of surgically treated acetabular fractures. Methods A prospective longitudinal study was undertaken in this hospital during the period from December 2010 to December 2014. A total number of 46 patients with the diagnosis of acetabular fracture were included in the study. The main cause of the acetabular injury was a road traffic accident. All the patients were treated surgically with plates and screws. Outcome was assessed radiologically and functionally, employing the Harris Hip Score. The mean follow‐up period of the patients in the postoperative period was 30 months (24–36 months). Results The results were excellent in 60.86%, good in 21.73%, fair in 8.69%, and poor in 8.69%. Post‐operative complications of acetabular fracture such as heterotopic ossification were found in 2.17%, osteoarthritis in 6.52%, skin infections in 4.34%, nerve lesions in 2.17%, and vascular necrosis in 4.34% of patients. More than 80% of patients were satisfied with the results of acetabular surgeries. Conclusion These results show that internal fixation of acetabular fractures leads to a good outcome in the majority of patients.