ArticleJournal of orthopaedic surgery and research2023
Combined pelvic and acetabular injuries: clinical features and treatment strategies of a unique injury pattern.
Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 9 citations in OpenAlex.
- Functional Outcomes of Surgical Management of Posterior Wall Acetabular Fractures: A Prospective Study.Journal of orthopaedic case reports · 2026Article
- Staged management of a compound combined pelvi-acetabular injury with perineal degloving in a young female: a case report and literature review.Archives of orthopaedic and trauma surgery · 2026Review
- Factors Associated with Functional Outcomes Following Combined Pelvic Ring and Acetabular Fractures: A 2-Year Retrospective Analysis.Clinics in orthopedic surgery · 2026Article
- Staged treatment of osteonecrosis of the femoral head induced by delayed treatment of polytrauma complicated by chronic acetabular fracture and hip dislocation: a case report.Frontiers in surgery · 2026Article
- Surgical management of concomitant and delayed complex pelvic and acetabular fractures.Journal of surgical case reports · 2025Article
- Association between sacroiliac joint reduction quality and acetabular fracture alignment: a comparative study of the lateral window and pararectus approaches.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Automatic virtual reconstruction of acetabular fractures using a statistical shape model.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Combined pelvic ring and acetabular fractures - strategies and sequence of surgery. State of the art.Archives of orthopaedic and trauma surgery · 2024Review
- [Experiences with the infra-acetabular screw placement technique in acetabular fracture surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTo explore the clinical characteristics of patients with unstable pelvic fractures combined with acetabular fractures and to discuss the treatment strategies for such patients to help guide treatment.
methodsWe retrospectively assessed 24 patients admitted to our hospital from June 2018 to June 2022 with unstable pelvic fractures combined with acetabular fractures, including 15 male patients and 9 female patients with a mean age of 44.8 years. According to the Tile pelvic fracture classification, 15 cases were type B, and 9 cases were type C. The acetabular fractures were classified using the Letournel-Judet classification. There were 8 transverse fractures, 4 transverse and posterior wall fractures, 3 anterior and posterior hemitransverse fractures, 6 both-column fractures, 2 T-shaped fractures and 1 anterior column fracture. We recorded the cause of the patient's injury and vital signs on admission and assessed the patient's treatment strategy and prognosis.
resultsAll patients completed the surgery successfully, and the follow-up ranged from 6 to 42 months, with a mean of 23 months. The healing time for pelvic fractures ranged from 11 to 21 weeks, with a mean of 14.8 weeks, and the postoperative displacement of the posterior pelvic ring ranged from 1.2 to 9.0 mm, with a mean of 3.5 mm. The final clinical outcome at follow-up was evaluated using the Majeed scale: excellent in 11 cases, good in 10 cases and fair in 3 cases; the excellent rate was 87.5%. The time to healing of the acetabular fracture ranged from 13 to 25 weeks, with a mean of 15.9 weeks, and the postoperative displacement of the acetabular fracture ranged from 0.6 to 5.2 mm, with a mean of 1.9 mm. Hip function was assessed at the final follow-up using a modified Merle D' Aubigné and Postel scale: there were 9 excellent, 11 good and 4 acceptable scores; an excellent rate of 83.3% was achieved.
conclusionPatients with unstable pelvic fractures combined with acetabular fractures suffer severe trauma and complex mechanisms of injury. Treatment needs to be individualized, taking into account the patient's physiological status, fracture classification and degree of displacement.
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