Information for Medical Professionals

Perfect reduction is not necessary for good functional outcome

Perfect reduction is not a necessity when attempting to obtain a good functional outcome in patients with acetabular fractures.

According to the new research paper The Radiological Evaluation of Acetabular Fractures in the Elderly, there is no correlation between imperfect alignment and functional outcome.

The researchers behind the new study wrote in the Journal of Bone and Joint Surgery that "SF-36 scores showed functional outcomes comparable with those of the general elderly population, with no correlation with the radiological reduction".

Of the 45 patients with acetabular fractures studied, 26 (58 per cent) had 'anatomical' unions following intervention, 13 (29 per cent) had imperfect unions and six (13 per cent) had poor radiographical results.

The researchers, however, concluded: "Perfect anatomical reduction is not necessary to attain a good functional outcome in acetabular fractures in the elderly."

Earlier research published in the journal showed that closed reduction can be hampered by femur and acetabular fractures.

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