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We reviewed the radiological and functional outcome of open reduction and internal fixation of 18 unstable acetabular fractures in our institution from July 2009 to November 2011. Pre operative evaluation was done with Letournel and Judet views, Axial CT scan and 3D reconstruction scans. The factors affecting the radiological and functional outcome of surgically treated patients were analyzed. The anatomical reduction is found to be the most important and consistent factor affection the outcome. The relationship between the factors such as age, initial displacement, associated injuries, and the time interval between injury and surgery were also evaluated. The radiological outcome was assessed using Matta’s criteria while the functional outcome was assessed using Merle d’ Aubign and Postel modified score. The post operative fracture reduction as measured on the three plain radiographs were graded as anatomical in 7(39%), imperfect in 6 (34%) and poor in 5(28%) cases. The functional outcome which was evaluated with Merle d’ Aubigne’ and Postel modified score was found to be excellent in 4 patients, good in 6 patients, fair in 4 patients and poor in

A PROSPECTIVE STUDY ON RADIOLOGICAL AND FUNCTIONAL OUTCOME OF UNSTABLE DISPLACED ACETABULAR FRACTURES TREATED BY OPEN REDUCTION AND INTERNAL FIXATION