Conservative Treatment of Acetabular Fractures

Abstract
A retrospective study of 57 conservatively treated acetabular fractures with an average followed of 7.9 year is presented. The overall functional result was satisfactory in 75%. The least satisfactory results were seen in fractures crossing the weight-bearing dome of the acetabulum in which congruency culd not be achieved (N = 11, nine patients had fair or poor results). However, fractures crossing the weight-bearing dome which couild be reduced by traction to less than 2 mm (N = 8) gave good or excellent results in seven patients. It is concluded that conservative treatment of acetabular fractures can be very successful, even in fractures crossing the weight-bearing dome, provided that congruence is preserved during the period of traction.

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