ArticleInternational orthopaedics2026
Association of knee ligament injury with pelvic and acetabular fractures: a retrospective cohort study.
Article in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKnee ligament injuries associated with pelvic and acetabular fractures are frequently overlooked during high-energy trauma, contributing to delayed diagnosis and long-term disability. Evidence describing their incidence and associated fracture patterns remains limited.
objectiveTo determine the incidence of knee ligament injury and identify the fracture patterns associated with it in patients with pelvic or acetabular fractures. MATERIALS AND
methodsWe retrospectively reviewed 328 patients with pelvic or acetabular fractures (after excluding 44 of 372 eligible patients lost to follow-up) treated at a tertiary trauma centre between July 2014 and July 2024. Demographics, fracture characteristics, knee examination findings, imaging, and International Knee Documentation Committee (IKDC) scores were analyzed. Associations between fracture pattern and knee ligament injury were assessed using Fisher's exact test, with odds ratios estimated by the unconditional (Woolf) method.
resultsKnee injury of any type occurred in 25 of 328 patients (7.62%). Knee ligament injury was identified in 11 patients (3.35%; 95% CI 1.41-5.30%); posterior cruciate ligament (PCL) tears were most common (6 cases, 54.5% of ligament injuries), followed by knee dislocation (4 cases: 3 Schenck KD III-L, 1 KD II) and an isolated lateral collateral ligament (LCL) avulsion (1 case). Knee ligament injury was significantly associated with posterior wall fracture (OR 4.19, 95% CI 1.17-15.00; P = 0.039), combined posterior wall-column fracture (OR 11.52, 95% CI 2.04-65.11; P = 0.026), and posterior hip dislocation (OR 4.76, 95% CI 1.32-17.09; P = 0.028). Posterior column fracture showed a large point estimate that did not reach statistical significance (OR 15.75, 95% CI 1.32-188.39; P = 0.098). Among patients with knee ligament injury, associated injuries included other-extremity trauma (45%), head injury (27%), and chest injury (18%); one case (9%) of PCL injury was diagnosed three months after injury.
conclusionKnee ligament injury occurs in 3.35% of patients with pelvic or acetabular fractures and is significantly associated with posterior wall and combined posterior wall-column acetabular fracture patterns and with posterior hip dislocation. Routine knee assessment is recommended in this population to reduce missed or delayed diagnosis.
Indexed as
Identifiers
42773172What OpenQuestion holds
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.