Postoperative Complications and Prognostic Factors in ORIF of Transverse Acetabular Fractures

Acetabular fractures are complex intra-articular injuries that commonly result from high-energy trauma such as road traffic accidents or falls from height, particularly affecting young adults [1].Among the various fracture types, transverse acetabular fractures and their associated variants-including T-type fractures, transverse with posterior wall involvement, and anterior column with posterior hemitransverse-pose significant challenges in terms of surgical management and postoperative outcomes [2].These injuries frequently disrupt the weightbearing dome of the acetabulum, necessitating precise anatomical reduction and stable internal fixation to restore joint congruity and prevent long-term complications such as post-traumatic arthritis [3].Open reduction and internal fixation (ORIF) remains the mainstay of treatment for displaced acetabular fractures [4].The Kocher-Langenbeck approach is widely employed for posterior and