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Original article

Clinical outcome of surgically treated displaced acetabular fractures with central dislocation using combined anterior and medial plating

By
Ahmad Radaideh Orcid logo ,
Ahmad Radaideh
Contact Ahmad Radaideh

Department of Special Surgery, Orthopaedic Division, King Abdullah University Hospital, Jordan University of Science and Technology, Jordan

Malik Alansari Abu Tabar ,
Malik Alansari Abu Tabar

Department of Special Surgery, Orthopaedic Division, King Abdullah University Hospital, Jordan University of Science and Technology, Jordan

Ziyad Mohaidat ,
Ziyad Mohaidat

Department of Special Surgery, Orthopaedic Division, King Abdullah University Hospital, Jordan University of Science and Technology, Jordan

Mohammad Alkhatatba ,
Mohammad Alkhatatba

Department of Special Surgery, Orthopaedic Division, King Abdullah University Hospital, Jordan University of Science and Technology, Jordan

Marwan A. Ahmed
Marwan A. Ahmed

Department of Special Surgery, Orthopaedic Division, King Abdullah University Hospital, Jordan University of Science and Technology, Jordan

Abstract

Aim Acetabular fractures are complex articular fractures with a big challenge for orthopaedic surgeons. Surgically managed displaced fractures carry favorable outcomes, especially if the articular surface is reduced accurately. This study aims to assess the clinical outcomes of surgical-ly fixed displaced acetabular fractures with central dislocation using combined anterior and medial plating.
Methods We have retrospectively evaluated sixteen patients, who had surgically managed dis-placed acetabular fractures with central dislocation at our institute. All patients underwent open reduction and internal fixation using combined anterior and medial plating via the Kocher-Langenbeck, the ilioinguinal, or the Stoppa approach. The functional outcome was assessed using the Harris Hip score.
Results Our study includes sixteen patients (12 males, 4 females) with a mean age of 35 years (range: 15-53 years). The mean follow-up was 7.8 years (range: 5-13 years). Functional outcomes were good to excellent in 12 (80%) patients and fair in 3 (20%) patients. At the final follow-up, the solid union had been achieved in all fractures, the mean HHS was 88.84 ± 7.61.
Conclusion Early reduction and surgical fixation of dis-placed acetabular fractures with central dislocation using combined anterior and medial plates appear to have good clinical outcomes.

Citation

Funding Statement

No specific funding was received for this study.

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

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