iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2022.v03i01.019Association between Various Socio-Demographic and Clinical Parameters with Functional Scores after Open Reduction and Internal Fixation of Acetabulum FracturesRaviKumarDivyanshSharmaBahratBhushanMukandLalSandeepKashyapBackground: The present study was done to evaluate the Association between Various socio-demographic and clinical Parameters with Functional Scores after open reduction and internal fixation of acetabulum fractures. Material and Methods: The present study was done in 44 patients of fracture acetabulum managed by open reduction internal fixation in the Department of Orthopaedic surgery, Indira Gandhi Medical College, Shimla. The functional and radiological outcome was assessed by Modified Merle d’Augbigne Postel score, Modified Harris Hip score and radiological scoring by Matta et al., at every follow up in prospective patients and at last follow up in retrospective patients. Results: There were 16 prospective (36.4%) and 28 retrospective (63.6%) cases. Incidence more in younger age group (21-60 years). There was Male predominance and more patients had rural background. RSA was the most common mode of injury in 63%. Autogenous bone graft from/Illiac Crest/ Greater trochanter was used for posterior wall impaction/ reconstruction. Mean Blood loss was more in anterior approach than posterior. Simple fractures had lesser mean hospital stay. Simple fractures were more common and had significantly better functional outcome than associated fracture types. Functional outcome was significantly better when operated within 2 weeks. Functional Outcome of Anterior approach was significantly better than posterior because of fewer complications. Functional Outcome was significantly better in patients with anatomical reduction. Modified Merle d’Aubigne and postel (MDA) score was excellent in 77%patients, good in 13%, fair in 10%. Matta’s radiological score at final follow up was excellent in 54.55%, good in 36.36%, fair in 4.55% and poor in 4.54% patients.The average Modified Harris Hip score was excellent in 97% and fair in 3% of patients. Complications were seen in only 2(4.45%) patients. Conclusion: Study concluded that those having Simple fractures, operated within 2 weeks, anterior surgical approach with anatomical reduction had significantly better functional outcome because of less complications.