EPIDEMIOLOGY OF ACETABULAR FRACTURES AT A TERTIARY CARE CENTRE IN CENTRAL INDIA

Abstract

Aim: To describe the epidemiological prole of acetabular fractures at a tertiary care centre in Central India. Methods: In this retrospective study, records of cases of acetabular fractures occurring over last one year period were retrieved. Demographic prole, mode of injury, type of injury, associated injuries, management, in-hospital complications and duration of post-operative stay were noted. Data was collected on an excel worksheet and presented as frequency and proportions or mean±SD. Results: Records of a total of 52 cases were retrieved during the period. Age of patients ranged from 15 to 77 years. Maximum patients were aged <30 years (48.1%). Mean age of patients as 37.21±18 years. Majority of patients were males (84.6%) and had road trafc accident (76.9%) as the cause of injury. Anterior column with posterior hemitransverse (40.4%), posterior wall (15.4%) and transverse (9.6%) were the most common fracture types. Right side was more commonly involved (57.7%). A total of 19 (36.5%) had dislocation too. Associated injuries were seen in 46 (88.5%) cases. ORIF was the preferred management (82.7%). Post-operative complications occurred in 10 (19.2%) cases. There was 1 (1.9%) in-hospital mortality. Mean time gap between injury and intervention was 8.75±4.89 days. Mean post-operative stay was 9.87±3.48 days. Conclusion: Acetabular fractures primarily affected the young males in their productive years of life with road trafc accident being the most common cause. Management of these fractures is compounded by huge burden of associated injuries and required a prolonged hospital stay