Management and Outcomes of Displaced Fractures of the Acetabulum

Authors : Metin Yaptı, Baran Sarıkaya, Cemil Ertürk, Ali Levent, Yaşar Samet Gökçeoğlu, Emrah Vatansever

Pages : 184-188

Doi:10.35440/hutfd.1479535

View : 21 | Download : 34

Publication Date : 2025-03-26

Article Type : Research Paper

Abstract :Background: Surgical management of displaced acetabular fractures represents a challenge for orthopedic surgeons due to their biomechanical complexity. An open reduction with anatomical correction can provide good to excellent clinical results for these patients. However, this depends on several determinants, such as the center experience, surgical approach, patient age, and fracture mechanism. The purpose of this study was to evaluate the anatomical, radiologic and functional results of the acetabular fracture treatments in a level 1 trauma center of a university hospital. Materials and Methods: This single-center retrospective clinical study was conducted between January 2011 and June 2015 at Harran University Medical School, Department of orthopedics, and traumatology. Patients who presented to the emer-gency department with acetabular fractures and managed surgically were included in the study. Demographic variables, mechanisms of injury, surgical approach, complications, radiographic and functional outcomes were recorded from patient charts. Anatomical results were examined on standard x rays of the pelvis and Judet`s oblique radiographs. Clinical results were analyzed according to the Postel-Merle d\\\'Aubigne criteria. Results: Forty-eight patients presented to our emergency department with acetabular fractures. Seventeen of these patients were treated surgically, whereas 31 were managed conservatively. The most common type of injury was motor vehicle accidents. In the surgical reduction of these fractures, mostly the Kocher-Langenbeck approach was preferred by the surgeons. The mean follow-up of patients was mean 4.2 years. According to Matta\\\'s criteria, the reduction was consid-ered anatomical in 5 patients, acceptable in 10 patients, and poor in 2 patients. During the last postoperative follow-up of these patients, eight were evaluated as excellent, four good, two fair, and three poor according to Matta`s radiologic crite-ria. Overall, twelve patients in the study cohort presented good or excellent clinical and functional results (70.5%). Conclusions: This study adds additional data to the growing body of clinical research and validates open reduction as the treatment of choice in selected high energy injuries of the acetabulum. Additionally, in the long-term follow-up, this strategy has shown satisfactory clinical and functional results.
Keywords : Asetabulum kırığı, Kocher Langenback, Pelvis kırığı