title: Fucntional and Radiological Outcome of Surgical Management of Acetabular Fractures in Tertiary Care Hospital.
abstract: OBJECTIVE
  Acetabular fractures are mainly caused by trauma and the incidence is rising in developing countries. Initially these fractures were managed conservatively, due to lack of specialized and dedicated acetabulum surgery centres. Our aim is to study the radiological and functional outcomes of surgical management of acetabular fractures in tertiary care hospital.
  
  
  METHODS
  Total 50 patients were enrolled. The patients with acetabular fractures were enrolled between the years 2012 to 2014. Patients were evaluated clinically with Harris hip score (HHS) and radiologically with Matta outcome grading. The factors examined include age, gender, fracture pattern, time between injury and surgery, initial displacement and quality of reduction on the final outcome.
  
  
  RESULTS
  There were 34 males and 16 females. Mean age was 44.20±11.65 years while mean duration of stay was 9.28±2.36 days. Duration of follow-up was 24 months. Most common mechanism of injury was motor vehicle accident (n=37, 74.0%). Open reduction and internal fixation of fractures were performed using reconstruction plates. Mean HHS at 24 months was 82.36±8.55. The clinical outcome was acceptable (excellent or good) in 35 (70.0%) cases and not acceptable (fair or poor) in 15 (30.0%) cases. The radiological outcome was anatomical in 39 (78.0%) cases, congruent in 5 (10.0%) cases, incongruent in 6 (12.0%) cases.
  
  
  CONCLUSIONS
  Study results indicated that mechanism of injury, time between injury and surgery, initial degree of displacement and quality of reduction had significant effect on functional as well as radiological outcome.
authors.affiliation: Department of Orthopedic Surgery, Liaquat National Hospital, Karachi, Pakistan.
authors.forename: Faizan
authors.initials: F
authors.lastname: Iqbal
authors.affiliation: Department of Orthopedic Surgery, Liaquat National Hospital, Karachi, Pakistan.
authors.forename: Intikhab
authors.initials: I
authors.lastname: Taufiq
authors.affiliation: Department of Orthopedic Surgery, Liaquat National Hospital, Karachi, Pakistan.
authors.forename: Muhammad Kazim Raheem
authors.initials: MK
authors.lastname: Najjad
authors.affiliation: Department of Orthopedic Surgery, Liaquat National Hospital, Karachi, Pakistan.
authors.forename: Naveed
authors.initials: N
authors.lastname: Khan
authors.affiliation: Department of Orthopedic Surgery, Liaquat National Hospital, Karachi, Pakistan.
authors.forename: Osama Bin
authors.initials: OB
authors.lastname: Zia
keywords: Acetabular fractures; Harris hip score; Matta radiological grading; Trauma