Functional and Radiological outcome of T-Type acetabular fractures treated through Anterior approach

Abstract

AIM Functional and Radiological outcome of                  T-Type acetabular fractures treated through Anterior               approach. INTRODUCTION Acetabular fractures occurring following high velocity injury are increasing in the present scenario. Acetabular fractures with significant displacement need internal fixation for early mobilization and to maintain joint congruity. In transverse acetabular fractures reduction of either anterior or posterior column leads to reduction of other column, but in case of TType acetabular fracture both column should be addressed individually to achieve congruent joint. This can be dealt with anterior approach alone by using  combined Ilioinguinal and stoppas approaches. MATERIALS AND METHODS In this study we analysed the functional and radiological outcome of T-Type acetabular fractures treated anterior approach. We analysed the functional and  radiological outcome of 5 patients who had T-Type acetabular fractures treated by anterior approach with a follow up of minimum 1 year period. we used lateral window for xation of a low posterior column fracture with posterior column lag screw. The functional outcome is analysed based on Merle DAubigne score which comprises of pain, walking and Range of motion. Out of 5 patients 4 patients had excellent outcome, 1 patient had good outcome. No poor outcomes were  encountered in our study. The Radiological outcome is   analysed using the mattas grading for fracture reduction which comprises of anatomical reduction ,satisfactory  reduction, unsatisfactory reduction. Out of 5 patients 4            patients had anatomical reduction and 1 patient had satisfactory reduction. No complications were encountered in our cases . CONCLUSION Anterior approach alone by using combined Ilioinguinal and stoppas approaches for the  treatment of T-Type acetabular fractures permits good to excellent reduction in the majority of cases while giving    exceptional access to and visualization of the corona mortis, quadrilateral surface, anterior and posterior column .