Outcomes Transverse Acetabular Fractures Treated with Posterior Column Plate Fixation and Anterior Column Screw Fixation

Abstract

Objectives: This study outlines the outcomes of patients with transverse acetabular fractures who had treatment with anterior column screws and posterior column plating via a posterior route.

Methodology: This prospective observational research aims to guide the standard of care for transverse ace tabular fractures. The twenty-two patients in the study suffered from either a transverse posterior wall fracture or a transverse acetabulum fracture. Twenty-two people in total participated in the study. The posterior Kocker-Langenbeck method performed internal fixation and open reduction surgeries on the patients. Every single patient had a minimum of one year Of Follow-up. We Assessed Then functional outcomes using the Harris Hip Score, the Nach Merled'Aubigné, and Postel scores, among other measures. Fifteen patients, or sixty-eight percent, had pure transverse fractures.

Results: Comparatively, seven out of twenty-two patients(or32%of the total) suffered posterior wall transverse fractures. The patients' ages ranged from twenty-two to fifty, with an average age of37.

Seventeen patients, or78%, were male, and five, or22%, were female. The Nach Merled'Aubigné and Postel scores classified there sultsasgoodin18 of the 22 patients, acceptable 2(9%), andfairin2 (9%). In total, twenty-two patients had remarkable results. Following patient analysis utilizing the Harris hip score, 17 patients (or77%of the total)had outstanding score,3 patients(14%of the total)had good results,and2 patients (9% of the total) had acceptable results. Hip arthritis affected one of the well-prognostic individuals, while heterotrophic ossification affected the other.

Conclusion: In conclusion, we can use an antegradeanteri or column screw to support the anterior column while simultaneously fastening the posterior column and wall with plates and screws. Ultimately, this combination of fixation techniques produces good functional outcomes by providing enough stiffness and stability to reduce fractures.