Author(s)

Keykhosro Mardanpour¹, Mahtab Rahbar^2*, Maryam Rahbar³, Nyosha Mardanpour², Sourena Mardanpour⁴

¹Kermanshah Medical Science University, Kermanshah, Iran.
²Iran Medical Science University, Tehran, Iran.
³Tehran Medical Science University, Tehran, Iran.
⁴Tehran Azad Medical Science University, Tehran, Iran.

Objective: Acetabular fractures are common injuries in Iran. We assess the functional outcome of open reduction and internal fixation management of displaced Complex acetabular fractures. Materials and Methods: We analyzed a case series of patients with open reduction and internal fixation (ORIF) for complex acetabular fractures. Two hundred patients (132 men, 68 women) in four age groups including with a mean age of 43.39 ± 6.18 years (range 20 - 59 years) and a mean follow-up of 82.34 ± 12.48 months (range 18 - 109 months) met the inclusion criteria. Functional outcome at final follow-up was graded assessed according to Harris score. Factors affecting were defined. Results: Anatomic reduction was achieved in 192 hips, imperfect in 8 and poor in none. Radiological outcome revealed excellent results in 128 (64%) hips, good in eight, fair in five and none in poor. Harris score were excellent in 139 (69.5%) hips, good in 43 (21.5%) and fair in 18 (9%) and poor in none. The anatomical reduction results had a favorable final functional outcome. (0.003) However, BMI (P < 0.004), fracture pattern (P < 0.004), displaced acetabular fractures (P < 0.005), associated injuries in lower extremity (P < 0.005), finally post-surgery complications (P < 0.001) and adequate physical therapy (0.004) adversely affected the final functional outcome. Deep Vein Thrombosis and Pulmonary Embolism were seen in 6 patients, Avascular Necrosis in 4, local Infection in 6, Heterotopic ossification in 4 and post-traumatic degenerative joint in 5 and sciatic neurapraxia in 2. Conclusion: Optimal functional and radiological outcomes have been achieved with anatomic postoperative reduction. Also experience of specialist, on time surgery and good recovery lead to receiving excellent functional outcome with at least complications.

Complex Acetabular Fracture, Internal Fixation, Open Reduction, Outcome

Mardanpour, K. , Rahbar, M. , Rahbar, M. , Mardanpour, N. and Mardanpour, S. (2016) Functional Outcomes of Traumatic Complex Acetabulum Fractures with Open Reduction and Internal Fixation: 200 Cases. Open Journal of Orthopedics, 6, 363-377. doi: 10.4236/ojo.2016.612049.