![]() ![]() Residual non-anatomical reduction following acetabular fractures may lead to poor surgical outcomes and early onset post-traumatic osteoarthritis. Similarly, the goals of osteosynthesis for acetabular fracture are anatomical reduction and rigid fixation, and thereby restoration of joint congruency. Anatomical reduction of the pelvic fracture is crucial since an unstable or asymmetric pelvic ring may lead to chronic pain and long-term morbidity. The goals of osteosynthesis for pelvic ring fracture are to restore bone continuity and symmetry as well as biomechanical stability. The treatment strategies include surgical restoration of the biomechanics of the pelvic ring and the congruency of the hip joint aim, which can achieve good outcomes and allow quicker return of the patient to activities of daily living. Unstable pelvic ring and acetabular fractures are usually caused by high energy traumas, such as high-speed motor vehicle accidents, falls from height, and crush injuries. Successful treatment of pelvic ring and acetabular fractures remains challenging for orthopedic surgeons, especially for multi-planar unstable pelvic and complex acetabular fractures. These findings may be assessed intraoperatively by fluoroscopy before beginning osteosynthesis for acetabular fractures. Matta’s criteria for pelvic ring fractures may also be useful for predicting the risk of inadequate reduction of the acetabulum on X-ray scans. ConclusionsĪssociated fractures identified via Letournel’s classification may contribute to inadequate reduction of acetabular fractures. Furthermore, associated fractures identified by Letournel’s classification system on computed tomography may be predictive of greater step-offs. Univariate analysis revealed that Matta’s criteria for pelvic ring fracture may be useful for predicting fair to poor quality of acetabular fracture reduction on X-rays. AO B2.2 and anterior columnar fractures were the most common types of pelvic ring and acetabular fractures, respectively. Resultsĭata from 27 hips of 26 patients were collected. Factors that may predict inadequate reduction of the acetabular fracture were analyzed. We conducted a retrospective review of patients treated for simultaneous ipsilateral pelvic ring and acetabular fractures between 20. Here, we evaluate the radiological outcomes of patients treated for simultaneous ipsilateral pelvic and acetabular fractures and analyze the factors that affect the quality of acetabular fracture reduction. Although the incidence, types, and radiological outcomes of simultaneous ipsilateral pelvic ring and acetabular fractures have been reported, there have been no reports on factors that may affect the quality of acetabular fracture reduction. ![]()
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