Retrospective cross –sectional study on computed tomography imaging analysis of Acetabular fracture pattern at Tikur Anbessa Specialized Hospital,Addis Ababa,Ethiopia.
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Date
2020-12
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Addis Abeba University
Abstract
Introduction: Correct recognition, description, and classification of acetabular fractures is
essential for efficient patient triage and treatment. Acetabular fractures are almost universally
classified by the method described by Judet et al and Letoumel over 60 years ago primarily to aisurgical planning. In the Judet and Letournel system, there are 10 acetabular fractures and
fracture combinations. Although some fracture patterns are not directly accounted for in this
scheme, many are subsumed into these 10 categories.CT scan is now considered a gold standard
in management of acetabular fracture because it best characterizes fracture pattern, fragment sizeand orientation, identify marginal impaction, loose bodies and also look for articular gap.
Purpose of the study: The main objective of this study was to assess CT acetabular fracturepatterns and associated injuries of all patients sustaining acetabular fracture from May 2019 to
May 2020 GC in TASH, Addis Ababa, Ethiopia.
Material and methods: Institutional based retrospective cross sectional study of 89 patientswith acetabular fracture was done. All patients with acetabular fracture from may -2019 to may-
2020 G.C that fulfill the inclusion criteria mentioned above were studied.
The important data including age, sex, address, cause of fracture, fracture pattern classification,
associated injuries and management modality were obtained from PACS, patient charts and
electronic medical records. Finally, data was collected manually, coded, entered and analyzed
by SPSS version 23.
Conclusion: We retrospectively assessed 89 acetabulum fractures that had been seen at TASH
between May 2019 and May 2020. Majority of patients having acetabular fracture were males in
their adult age group. Road traffic accident and fell down accident were causes of most
acetabular fracture in TASH. Anterior column with posterior hemi transverse, T-shaped and bothcolumn fractures were the most frequent acetabular fracture patterns in their order. Associated
intra-articular bony fragments and hip dislocations also noted in about 34% and 40% of cases
respectively. In 8% of the cases there is also associated femoral head impaction. Femoral, pelvicand sacral bone fractures were common injuries associated with acetabular fracture. Majority of
the patients had surgical management in TASH
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Keywords
Acetabular fracture, CT, Judet-letournel classification system