Hip joint is a ‘ball and socket’ joint. Fractures of ACETABULUM (hip socket ) are serious injuries to hip joint.
These fractures are usually the result of high energy trauma such as motor vehicle accidents and fall from height. However a ground level fall in a weak bone can fracture a hip socket.
PAIN in groin and upper thigh with inability to bear weight on affected limb after injury are the presenting symptoms for these fractures.
Do we need surgery for fracture of acetabulum?
The function of Hip joint is to transfer the body weight to ground and aid in mobility.
Any loss of congruency or stability of hip joint warrants restoration of original anatomy of hip socket to avoid development of painful hip arthritis and limp.
In most cases surgery is required not only to restore the function of hip joint but also to prevent secondary complications of bed rest such as chest infections, bed sores, urinary tract infection, muscle weakness and osteoporosis.
What type of surgery is required for acetabulum (hip socket)fracture ?
Depending on fracture configuration the hip socket can be restored to its original shape and congruency by standard fracture fixation and appropriate hardware.
In rare cases an early or delayed hip replacement may be required.
Hip replacement for arthritis after an acetabular fracture has a limited life span so whenever possible preservation of original hip socket with fixation of fracture ,especially in a young individual is preferable.
Are there any activity restrictions after fracture reconstruction ?
Once the fracture heals, cross leg sitting,squatting and return to previous activity level,including sports participation is allowed.
End stage arthritis of knee is a debilitating problem causing knee pain, difficulty in standing and walking and limitations in activities of daily living. Often the pain becomes persistent causing sleep disturbances and is minimally responsive to routine analgesics.
A limited capacity to walk and climb stairs allows for excess weight gain which not only places additional forces on the arthritic knee but also increases the risk of back pain and metabolic diseases such as diabetes and hypertension.
Knee replacement surgery is one of the most successful and widely performed orthopaedic surgical procedures.
Total knee replacement aims to eliminate knee pain. It allows walking for long distances and greatly improves the quality of life.
Most activities of daily living, including participation in light sports such as golf can be performed without pain .Occasional cross leg sitting and kneeling for social and cultural needs is often possible once a good range of motion is achieved.
Pelvic fractures occur in patients with blunt multiple trauma frequently in association with spine and femur (thigh bone) fractures. These fractures are a significant cause of death.
Are pelvis fractures serious?
Severe uncontrolled blood loss represents the most devastating complication of pelvic fractures because of close proximity to major blood vessels. Mortality rates in such cases are as high as 50% .
The unstable, untreated pelvis can be life threatening and does not allow appropriate nursing care of patients with chest, brain and abdominal injury complicating overall recovery.
What are the benefits of pelvic fracture fixation?
Emergency stabilisation of pelvic fracture followed by definitive fracture fixation improves survival, prevents secondary complications of immobility and allows early return to pre injury activity levels.