Description about the Surgery
The management of acetabular fractures involves the diagnosis and treatment of fractures affecting the acetabulum, which is the socket of the hip joint. Treatment options may include surgical approaches such as open reduction and internal fixation (ORIF), percutaneous fixation, or total hip arthroplasty (hip replacement) for severe fractures.
Different Types of Acetabular Fractures
Acetabular fractures are classified based on their location and severity, including anterior column fractures, posterior column fractures, transverse fractures, and both-column fractures. These fractures may result from high-energy trauma such as motor vehicle accidents or falls from height.
Before Surgery
Before undergoing surgery for acetabular fractures, patients undergo a thorough evaluation, including physical exams and imaging studies (X-rays, CT scans, MRI) to assess the extent of the fracture and plan the appropriate treatment. Pre-operative instructions may include pain management strategies, immobilization with traction or external fixation devices, and instructions for activity modification.
During Surgery
During the surgical management of acetabular fractures, the surgeon may use various approaches depending on the location and severity of the fracture. Open reduction and internal fixation (ORIF) involve making an incision over the fracture site, repositioning the fractured bone fragments into alignment, and stabilizing them using surgical hardware such as plates, screws, or pins.
After Surgery
After surgery for acetabular fractures, patients are closely monitored for complications such as infection, nerve injury, or joint stiffness. Post-operative care includes pain management, wound care, and monitoring for signs of healing or complications. Depending on the severity of the fracture and the stability achieved with surgery, patients may require immobilization with traction or external fixation followed by physical therapy to regain strength, mobility, and function.
Rehabilitation
Rehabilitation after surgery for acetabular fractures aims to restore range of motion, strength, and function while promoting bone healing and preventing stiffness. Physical therapy may include exercises to improve flexibility, muscle strength, and joint stability. The rehabilitation process is tailored to the individual patient's needs and the specific requirements of their fracture, with the goal of optimizing recovery and restoring full function of the hip joint.