Outcomes of Surgical Treatment in Acetabular Fractures
DOI:
https://doi.org/10.37762/jgmds.13-2.828Keywords:
Acetabular Fracture, Harris Hip Score, Matta’s CriteriaAbstract
ABSTRACT
OBJECTIVES
This study aimed to determine the outcomes of surgical treatment in acetabular fractures at Hayatabad Medical Complex, Peshawar.
METHODOLOGY
This prospective observational study was conducted at the Department of Orthopaedics and Spine at Hayatabad Medical Complex, Peshawar, Pakistan, from 1st January 2025 to 15th October 2025. The hospital's ethics committee approved the study. All adult patients of either sex aged 18 to 75 years, with an acetabular fracture with> 2 mm displacement of the articular surface, <45º of Matta's roof arc angle, or a fracture with instability affecting more than 20% of the posterior wall, were included in the study. The mean Harris hip score was compared between Group A and Group B using a paired-samples t-test, and structural outcomes were compared between the groups using Matta's criteria.
RESULTS
Of the 12 patients included in our study, 10 (83%) were men, and 2 (17%) were women. 9(75%) patients had age <45 years & 3(25%) patients had age>45 years to 75years. Both structural and functional outcomes were compared using a paired-samples t-test, and the results were statistically significant (p-value < 0.05), indicating the effectiveness of acetabular fracture fixation.
CONCLUSION
A favourable structural and functional outcome can be obtained with surgical therapy for displaced acetabular fractures. Properly diagnose the fracture pattern, and plan and perform the appropriate surgical approach with careful procedural planning.
Downloads
Metrics
References
Mousafeiris VK, Vasilopoulou A, Chloros GD, Panteli M, Giannoudis PV. Management and outcomes of bilateral acetabular fractures: A critical review of the literature. Indian J Orthop. 2022;56:1-10. https://doi.org/10.1007/s43465-021-00575-8. PMID: 35242547 DOI: https://doi.org/10.1007/s43465-021-00593-1
Laird A, Keating JF. Acetabular fractures: A 16-year prospective epidemiological study. J Bone Joint Surg Br. 2005;87(7):969-73. https://doi.org/10.1302/0301-620X.87B7.16069. PMID: 15972923 DOI: https://doi.org/10.1302/0301-620X.87B7.16017
Melhem E, Riouallon G, Habboubi K, Gabbas M, Jouffroy P. Epidemiology of pelvic and acetabular fractures in France. Orthop Traumatol Surg Res. 2020;106(5):831-839. https://doi.org/10.1016/j.otsr.2020.02.017. PMID: 32213386 DOI: https://doi.org/10.1016/j.otsr.2019.11.019
Singh A, Lim AS, Lau BP, O'Neill G. Epidemiology of pelvic and acetabular fractures in a tertiary hospital in Singapore. Singapore Med J. 2022;63(7):388-393. https://doi.org/10.11622/smedj.2021119. PMID: 33998177 DOI: https://doi.org/10.11622/smedj.2021024
Letournel E, Judet R. Fractures of the acetabulum. 2nd ed. Berlin: Springer-Verlag; 1993 DOI: https://doi.org/10.1007/978-3-642-75435-7
Cimerman M, Kristan A, Jug M, Tomaževič M. Fractures of the acetabulum: From yesterday to tomorrow. Int Orthop. 2021;45:1057-1064.https://doi.org/10.1007/s00264-020-04864-3. PMID: 33205394 DOI: https://doi.org/10.1007/s00264-020-04806-4
Riemenschneider J, Vollrath JT, Mühlenfeld N, Frank J, Marzi I, Janko M. Acetabular fractures treatment needs in the elderly and nonagenarians. EFORT Open Rev. 2022;7(6):433-445. https://doi.org/10.1530/EOR-21-0116. PMID: 35782625 DOI: https://doi.org/10.1530/EOR-22-0019
Jee GM, Kumar N. Surgical treatment of acetabular fracture. Int J Orthop Sci. 2022;8(1):67-71 DOI: https://doi.org/10.18231/j.ijos.2022.012
Milenkovic S, Mitkovic M, Stojiljkovic P. Total hip arthroplasty after acetabular fracture surgery. Int Orthop. 2021;45:871-876. https://doi.org/10.1007/s00264-020-04832-x. PMID: 33196874 DOI: https://doi.org/10.1007/s00264-020-04676-w
Ziran N, Soles GLS, Matta JM. Outcomes after surgical treatment of acetabular fractures: A review. Patient Saf Surg. 2019;13:16. https://doi.org/10.1186/s13037-019-0196-2. PMID: 31139323 DOI: https://doi.org/10.1186/s13037-019-0196-2
Milenkovic S. Pelvic and acetabular fractures. Niš: Medical Faculty, University of Niš; 2018
Anizar-Faizi A, Hisam A, Sudhagar KP, Moganadass M, Suresh C. Outcome of surgical treatment for displaced acetabular fractures. Malays Orthop J. 2014;8(3):1-6. https://doi.org/10.5704/MOJ.1411.001. PMID: 25621033 DOI: https://doi.org/10.5704/MOJ.1411.001
Shon HC, Lim EJ, Yang JY, Min CH. Outcomes of surgical treatment of acetabular fractures with a minimum 1-year follow-up. Clin Orthop Surg. 2024;16(6):871-878. https://doi.org/10.4055/cios23141 DOI: https://doi.org/10.4055/cios23359
AlRousan FM, Almigdad AK, Jwinate MN, Aolymate MD, Alsarhan FY, Al-Qudah OM. A review of acetabular fracture patterns, etiologies, and management in Jordan. Saudi Med J. 2023;44(6):607-612. https://doi.org/10.15537/smj.2023.44.6.20220931. PMID: 37343989 DOI: https://doi.org/10.15537/smj.2023.44.6.20220931
Khalifa AA, Kostadinov LJ, Hauri DD, Zhu TY. Health-related quality-of-life, complications, and mortality rates after geriatric acetabular fracture, nonoperative compared to operative management: A systematic review and meta-analysis. Int J Surg. 2025;111(10):7181-7201. https://doi.org/10.1097/JS9.0000000000002776.PMID: 40540452 DOI: https://doi.org/10.1097/JS9.0000000000002776
Boudissa M, Francony F, Drevet S, Kerschbaumer G, Ruatti S, Milaire M, et al. Operative versus nonoperative treatment of displaced acetabular fractures in elderly patients. Aging Clin Exp Res. 2020;32:571-577. https://doi.org/10.1007/s40520-019-01262-y. PMID: 31201563 DOI: https://doi.org/10.1007/s40520-019-01231-5
Janko M, Verboket R, Genari M, Frank J, Marzi I. Primary or revision arthroplasty with an integrated acetabular cup—MUTARS® RS cup system. Eur J Trauma Emerg Surg. 2022;48(5):4149-4155. https://doi.org/10.1007/s00068-021-01725-6. PMID: 34292358 DOI: https://doi.org/10.1007/s00068-022-01956-5
McCormick BP, Serino J, Orman S, Webb AR, Wang DX, Mohamadi A, et al. Treatment modalities and outcomes following acetabular fractures in the elderly: A systematic review. Eur J Orthop Surg Traumatol. 2022;32(4):649-659.https://doi.org/10.1007/s00590-021-03064-5 PMID: 34453526 DOI: https://doi.org/10.1007/s00590-021-03002-3
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Muhammad Aamir, Israr Ahmad, Waseem Khan, Shah Hassan
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
