Original scientific paper
Functional Status of Hip Joint after Surgical and Conservative Treatment of Acetabular Fracture
Ivan Lovrić
Savo Jovanović
Igor Lekšan
Egon Biuk
Jozo Kristek
Radivoje Radić
Abstract
Both conservative and surgical treatment of acetabular fractures alter biomechanical conditions in the hip joint resulting
in various degenerative changes in the acetabulum and the femur head. These changes may progress to secondary
coxarthrosis, causing dysfunction of the hip joint. The aim of this paper is to compare the outcomes of both conservative
and surgical treatments in different types of acetabular fractures, so that clear indications for either conservative or
surgical treatment could be determined. This paper is based on retrospective study of 103 patients with acetabular fracture
(21 surgically treated and 82 conservatively treated). In this study the incidence of particular types of acetabulum
fractures, the treatment period, the incidence of complications and the functional status of the hip after the treatment
were analyzed. In patients with anterior fracture surgical treatment lasted three times less than conservative treatment
and resulted in far better functional status of the hip joint compared to conservatively treated patients. However, in patients
with transverse fractures the functional status was better and the treatment period shorter after the conservative
treatment. We believe that the present treatment indications should be corrected so that in anterior column fracture the
surgical method should be preferred, whereas the transverse fracture should be treated conservatively. In other types of
acetabular fracture, with the radiographic roof arc angle of 45° or less, the surgical method should be preferred to conservative
method.
Keywords
hip; acetabulum; acetabular fracture I
Hrčak ID:
27309
URI
Publication date:
4.1.2007.
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