Table 8 Complications of postoperative acetabular fractures
Complications | Group A (no. of patients) | Group B (no. of patients) | Management |
|---|---|---|---|
Intra operative complications | |||
Corona mortis injury | 2 (11%) | 1 (5%) | Packing and ligation in 1 patient |
Obturator artery injury | 1 (5.5%) | 0% | Packing and ligation |
External iliac vein injury | 1 (5.5%) | 0% | Primary repair |
Superior gluteal artery injury | 1 (5.5%) | 1 (5%) | Packing and embolisation |
Postoperative complications | |||
Obturator nerve injury | 1 (5.5%) | 0% | Recovered in 3-6 months in 20 patients |
Femoral Nerve palsy | 1 (5.5%) | 0% | Partial recovery in 1 patient |
Deep infection | 2 (11%) | 1 (5%) | Debridement and antibiotics in 2 patients |
Foot drop | 2(11%) | 1 (5.5%) | Recovered in 6-12 months |
Superficial infection | 4 (22%) | 2 (10%) | Dressing and antibiotics |
Deep vein thrombosis | 3 (33%) | 1 (5%) | Chemical prophylaxis in 1 patients |
Intra articular screw | 3 (33%) | 2(10%) | Removed |
Sciatic nerve palsy | 1 (5.5%) | 0% | Recovered in 6 weeks |
Seroma at operative site | 1 (5.5%) | 1 (5%) | Treated operatively, no infection was found |
Peritoneum breach | 1 (5.5%) | 0% | Wound was closed without sequelae |
Wound dehiscence | 2(11%) | 1 (5%) | Surgical closure done |
Delayed wound healing | 2(11%) | 1 (5%) | Healed in 3 weeks with infrared heat lamp treatment |
Late complications | |||
Hip joint arthritis | 6 (66%) | 5 (25%) | |
Ectopic bone formation | 4 (22%) | 3 (15%) | Conservative in 2 patients with full range of motion |
Avascular necrosis femur head | 1 (5.5%) | 0% | |
Loss of reduction | 2 (11%) | 1 (5%) | THR done in 2 patients |
Rectus atrophy without hernia | 1 (5.5%) | 1 (5%) | |
Lateral inguinal hernia | 2 (11%) | 1 (5%) | Repair done |