EVALUATION OF SHORT-TERM TREATMENT OUTCOMES AFTER OPEN REDUCTION AND INTERNAL FIXATION FOR CLOSED ACETABULAR FRACTURES
Main Article Content
Abstract
Background: Acetabular fractures are complex intra-articular injuries of the hip, typically resulting from high-energy trauma and frequently associated with polytrauma and potentially lifethreatening conditions. Early reduction and open reduction and internal fixation (ORIF) aim to restore acetabular anatomy and hip congruency, thereby improving functional outcomes. Objectives: To describe clinical and radiographic characteristics of closed acetabular fractures and to evaluate shortterm outcomes after surgical treatment. Materials and methods: A prospective longitudinal study of 36 patients who underwent surgery at Can Tho Central General Hospital from June 2024 to March 2026. Results: The mean age was 46 ± 17.2 years. Traffic accidents were the most common mechanism of injury (69.4%); the remaining cases resulted from falls from height and domestic accidents. Hip dislocation occurred in 55.6% of cases. The most common fracture patterns were posterior wall fractures (41.7%), posterior column with posterior wall fractures (27.8%), and anterior column fractures (22.2%). Surgery was performed within 14 days after injury in 86.1% of patients. Mean operative time was 149 ± 40 minutes. According to Matta criteria, reduction was good in 80.5%, fair in 16.7%, and poor in 2.8%. At the 3-month follow-up, hip function assessed by the Merle d’Aubigné score was excellent–good in 77.8% and fair in 22.2%. Recorded complications included superficial infection (2.8%) and 3 cases of sciatic nerve injury. Conclusion: ORIF for closed acetabular fractures resulted in favorable short-term radiographic and functional outcomes. However, longer-term followup is required to evaluate sustained functional recovery and late complications.
Keywords
Acetabular fracture, open reduction and internal fixation, Letournel–Judet classification, Matta criteria, Merle d’Aubigné score
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
2. Đỗ Đức Mạnh, Dương Đình Toàn. Đánh giá kết quả phẫu thuật kết hợp xương điều trị gãy ổ cối tại Bệnh viện Hữu nghị Việt Đức. Tạp chí Y học Việt Nam. 2023. 523(1), 4-8, doi: 10.51298/vmj.v523i1.4388.
3. Trần Văn Cư. Đánh giá kết quả điều trị phẫu thuật gãy ổ cối di lệch tại Bệnh viện Trung Ương Huế. Tạp chí Y học Lâm sàng. 2023. (85), 52-57, doi: 10.38103/jcmhch.85.7.
4. Shon H.C., Lim E.J., Yang J.Y., Min C.H. Outcomes of surgical treatment of acetabular fractures with a minimum of 1-year follow-up. Clin Orthop Surg. 2024. 16(6), 871-879, doi: 10.4055/cios23359.
5. Gänsslen A., Müller M., Nerlich M., Lindahl J. Acetabular fractures: Diagnosis, indications, treatment strategies. Thieme. 2017.
6. Fadzli N.H., Faisham W.I., Hamid D., Yahaya S. Functional outcome of surgical stabilisation of acetabular fractures. Malays Orthop J. 2021. 15(2), 129-135, doi: 10.4012/moj.2107.019.
7. Mishra A., Verma T., Vaish A., Vaish R., Vaishya R., Maini L. Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma. Chin J Traumatol. 2019. 22(6), 350–355, doi: 10.1016/j.cjtee.2019.07.006.
8. Tornetta P. III, Ricci W.M., Ostrum R.F., McKee M.D., Ollivere B.J., et al. Rockwood and Green's Fractures in Adults. Wolters Kluwer. 2025.
9. Stavrakakis I.M., Kritsotakis E.I., Giannoudis P.V., Kapsetakis P., Dimitriou R., et al. Sciatic nerve injury after acetabular fractures: A meta-analysis of incidence and outcomes. Eur J Trauma Emerg Surg. 2022. 48(4), 2639-2654, doi: 10.1007/s00068-022-01896-0.