Radiological Outcome Evaluation of Transverse Acetabular Fractures Treated with Reconstruction Plate Via Posterior Approach

Background: Acetabular fractures are uncommon but clinically significant injuries, often resulting from high-energy trauma and presenting complex surgical challenges due to the anatomy of the pelvis. The purpose of the study is to evaluate the radiological outcomes of transverse acetabular fractures managed with reconstruction plate fixation via the posterior surgical approach. Aim of the study: The aim of the study was to assess the radiological outcomes of transverse acetabular fractures managed with reconstruction plate fixation via the posterior surgical approach. Methods: This prospective observational study of 25 patients with transverse acetabular fractures was conducted at the Department of Orthopaedic Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh, from July 2017 to June 2019. Patients aged 21–80 years underwent open reduction and internal fixation within three weeks. Outcomes were assessed clinically and radiologically using standard scoring systems. Data were analyzed with SPSS 22. Results: In 25 patients (96% male, mean age 36.2 years), 76% were aged 20–40. Fractures were 36% transverse, 48% transverse with posterior wall, and 16% other types. Anatomical reduction was achieved in 80%, with radiological outcomes of 48% excellent, 16% good, and 36% fair. No significant link was found between reduction quality and radiological outcome. Conclusion: Reconstruction plate fixation via the posterior approach provides effective anatomical reduction and satisfactory radiological outcomes in transverse acetabular fractures.