Acetabular fracture fixation

Operating rooms/ theatres have laminar airflow with 0.3µ HEPA filters which eliminate chance of infection This ensures a safe outcome after surgery by filtering bacterial content in the air by 99.9%.The hospital adheres to international standards of best clinical care, safe environment, medication safety, respect for rights and privacy, international infection control standards. The sprawling serene hospital.

Incidence of acetabular fractures
Most acetabular fractures occur in car or four wheeler accidents at high speed. The impact of the dashboard against the bent knee impacts the upper end of the femur into the socket and leads to fracture.

Associated injuries are common
Pelvic fractures, Hip dislocation, knee injuries, fracture of head of femur are associated injuries.

Treatment of acetabular fractures
Early treatment of shock and assoicated life threatening injuries takes precedence. Displaced fractures will need open reduction and internal fixation. Neglected fractures with post traumatic arthritis may require Resurfacing of hip or bone preserving hip replacement like the Proxima hip replacement

Results of treatment
When the surgeon succeds in obtaining a good position of the fracture during surgery, the result is good. There is however a risk of post traumatic arthritis.

Treatment of Post traumatic arthritis
Hip resurfacing surgery is the best treatment for this condition. After surgery, normal function is restored.

My experience with acetabular fractures
I have treated many acetabular fractures by internal fixation. Most injuries occured in high speed motor vehicle accidents in young men.