Clinical outcomes of the surgical treatment of acetabular fractures
Background: This study aimed to evaluate the clinical outcomes of surgical treatment for acetabular fractures and identify predictive factors associated with favorable results. Methods: A retrospective analysis was conducted on 156 patients who underwent surgical treatment for acetabular fractures a...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
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| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X25000785 |
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| Summary: | Background: This study aimed to evaluate the clinical outcomes of surgical treatment for acetabular fractures and identify predictive factors associated with favorable results. Methods: A retrospective analysis was conducted on 156 patients who underwent surgical treatment for acetabular fractures at Khon Kaen Hospital between January 2017 and December 2021. Data collected included demographic characteristics, cause of injury, fracture classification (Judet and Letournel system), presence of associated hip dislocation, time to surgery, and quality of reduction (assessed using Matta's criteria). Clinical outcomes were evaluated at 12 months postoperatively using the Merle d'Aubigné Hip score. Univariate and multivariate logistic regression analyses were performed to identify significant predictors of very good clinical outcomes. Results: The cohort comprised 134 males (85.9 %) and 22 females (14.1 %) with a mean age of 42.71 years. The leading cause of injury was traffic accidents (78.85 %), followed by falls from height (21.15 %). Fractures were classified as elementary (47.44 %) or associated (52.56 %), with associated hip dislocation present in 41.03 % of the cases. Very good clinical outcomes were observed in 56.41 % of the patients. Univariate analysis revealed that early surgical intervention (≤14 days) (p = 0.024), absence of associated hip dislocation (p = 0.000), and high-quality reduction (≤3 mm displacement) (p = 0.000) were significantly associated with better outcomes. Multivariate analysis confirmed these factors as independent predictors of favorable results. Age and fracture classification were not significantly associated with clinical outcomes. Conclusion: Timely surgical intervention, high-quality fracture reduction, and the absence of associated hip dislocation are crucial predictors of successful clinical outcomes following acetabular fracture surgery. These findings highlight the significance of early and precise surgical management in optimizing patient recovery. |
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| ISSN: | 2773-157X |