Surgical Management of Acetabular Fractures in Adultes: About 15 Cases

Introduction: Acetabular fractures are relatively rare injuries. The purpose of this study was to evaluate the functional and radiographical outcomes of surgical management of Acetabular fractures in medium term. Materials and method: This was a retrospective and descriptive study conducted on the records of patients operated on for acetabular fractures classified according to Letournel and Judet criteria between January 1, 2021, and December 31, 2024. Clinical and imaging examinations were used to establish the diagnosis and indicate surgery. Anteroposterior pelvic radiographs were used to assess joint congruity according to Duquesnoy and Senegas criteria, reduction according to Matta criteria, and bone healing. Functional assessment was based on the Postel-Merle d’Aubigne criteria. Results: The series included 15 patients (15 fractures) (13 men and 2 women). The mean age was 37.8 (23 and 55) years. The fracture was due to road traffic accident (n=13) and fall from height (n=2). The fracture involved the posterior wall (n=3), posterior column (n=3), anterior column (n=2), transverse (n=1), T-shaped (n=1), associated transverse and posterior wall (n=2), posterior column and posterior wall (n=2) and bicolumn (n=1). The mean time to surgery was 13.1 (8 and 20) days. The mean hospital stay was 24 (18 and 40) days. The mean follow-up was 2.8 years (8 months and 4 years). Head/roof congruence was perfect (n=12), good (n=2), and fair (n=1). Head/acetabulum congruence was perfect in all cases. Reduction was anatomical (n=12), satisfactory (n=2), and unsatisfactory (n=2). The Postel-Merle d’Aubigne functional score was excellent (n=8), good (n=5), and fair (n=2). Conclusion: Acetabular fractures are relatively rare injuries. They occur following high-energy trauma. Surgical management within a short timeframe, using an appropriate approach, often results in anatomic reduction and a congruent hip. The functional outcome is satisfactory in the medium term.