Abstract:

AIM: Patients with posterior wall fractures, of the acetabulum which treated surgically, were evaluated clinically, radiologicaly and prognostic factors affecting late clinical results were revivewed. MATERIAL and METHOD: Between 1994-1999 sixteen patients with acetabular posterior wall fractures were evaiuated by Merle d'Aubigne and Postel's modified criteria with a mean of 36 months follow up. The relations of clinical results and aquired anatomie reduction, preoperative hip dislocation, patients age, associated injury, preoperative hospitalization time were statistically analyzed. RESULTS: We had 12 (75%) clinical and 11 (69%) radiological satisfactory results. There were significant association between clinical results and postoperative anatomic reduction (p=0.0082). However there were no relationship between clinical results and preoperative hip dislocation, older patient age, associated injury and preoperative hospitalization time (p>0.05). CONCLUSION: We conclude that the achievement of anatomical reduction by surgery affects the early results positively. Therefore postrerior wall fractures of acetabulum should be treated surgically for gaining a mobile, painless and functional hip joint.

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