ReviewCureus2025
Letournel-Judet Classification of Acetabular Fractures: A Systematic Review of Reliability and Association With Post-traumatic Arthritis.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acetabular fractures, though relatively uncommon, represent one of the most complex injuries in orthopaedic trauma due to their impact on hip joint stability and long-term function. The Letournel-Judet classification system remains the most widely accepted framework for describing these fractures, guiding surgical planning, and facilitating communication among clinicians. Despite its extensive use, concerns remain regarding its reproducibility across different observers and its ability to predict clinically significant outcomes such as post-traumatic hip arthritis. This systematic review, conducted according to the PRISMA 2020 guidelines, aimed to evaluate the reliability of the Letournel-Judet classification and its association with post-traumatic arthritis. A comprehensive search of PubMed/MEDLINE, Embase, Scopus, and the Cochrane Library up to August 2025 identified studies that assessed either inter- and intraobserver reliability of the classification or its prognostic correlation with arthritis development. Six studies were included with a sample of 218 patients. Findings demonstrated moderate reliability overall, with improved reproducibility observed among experienced raters and with the adjunct use of computed tomography, structured classification algorithms, or three-dimensional models. Prognostic evidence suggested that posterior wall and transverse fracture variants were associated with higher early risk of arthritis; however, the most consistent determinant of long-term hip function was the quality of anatomic reduction achieved during surgery. This review underscores the importance of integrating advanced imaging and structured interpretive frameworks to improve both the consistency and clinical relevance of acetabular fracture classification.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.