Surgical management of acetabular fractures associated with pelvic ring disruption

Author(s): ISLAM SAMEEH ABDELFATTAH, MOSTAFA ALI MAHER, AHMED ELSAYED ELMALT

Introduction: Combined injuries are more common than previously believed, with an incidence of 15.7% of all pelvic trauma victims. These types of injuries are different from isolated acetabular or pelvic injuries regarding injury severity scores, haemodynamic status, blood transfusion requirements, and higher mortality rates reaching up to 13%. The aim of this study is to discuss the different techniques of management when these injuries co-occur.

Methods: The study conducted a prospective analysis of the outcomes of 240 patients with combined injuries presented to our hospital in the period from December 2013 and November 2021.

Results: The radiological outcome was assessed using Matta score for both acetabular and pelvic fractures while, Majeed and Merle Aubigne score were used for clinical assessment at the final follow up.

Conclusion: Both components of injury should be managed properly without compromise of either one of them. Anatomical reduction should be the goal for both components trying to fix both through a single approach.