Functional Outcome in an Acute Acetabular Fracture & Diagnosis, Management and Prognosis Following Surgical Treatment: Current Concepts

Md. Salim

Government Medical College, Kota, Rajasthan, India.

Ashok Kumar Tiwari

Government Medical College, Kota, Rajasthan, India.

Jitendra Aloria *

Government Medical College, Kota, Rajasthan, India.

Dhanraj Meena

Government Medical College, Kota, Rajasthan, India.

Utsav C Shetty

Government Medical College, Kota, Rajasthan, India.

*Author to whom correspondence should be addressed.


To evaluate the functional results of early surgical treatment for displaced acetabular fractures, as well as the complications involved.

Methods: A study involving 23 patients aged 18–55 with acetabular fractures from 2017–2019 followed their treatment using open reduction and internal fixation using, plate, and internal screw. Patients were excluded from the study due to factors like pregnancy, infection, poor physical conditions, and previous diseases. The study used Kocher, Langenback, and ilioinguinal approaches for postoperative treatment, but no condition was cured.

Results: A total of 23 patients were operated. Union was achieved in anatomical position in 20 (86.95%) patients and in malposition in 3 (13.05%%) patients. Excellent results were obtained in 12 (52.17%) patients, good results in 5 (21.73%), fair results in 3 (13.04%), and poor results in 3 (13.04%) patients. Postoperative complications included infection 0 (0%), heterotopic ossification 0, sciatic nerve injury (1) (4.34%), and avascular necrosis in 2 (8.60%) patients.

Conclusion: Acetabular fractures are orthopedic injuries requiring careful attention and treatment. Earlier Acetabular Surgery were difficult due to poor anatomy and surgical procedures. Advances in CT scans and 3D reconstructions have made fracture patterns more common. Open reduction and internal fixation are the preferred treatments, aiming to reduce body size and achieve stabilization quickly. However, the study has limitations due to the small number of cases and its short duration.

Keywords: Acetabular fracture, Kocher Langenbeck, Ilioinguinal, heterotropic, ossification

How to Cite

Salim , Md., Ashok Kumar Tiwari, Jitendra Aloria, Dhanraj Meena, and Utsav C Shetty. 2023. “Functional Outcome in an Acute Acetabular Fracture & Diagnosis, Management and Prognosis Following Surgical Treatment: Current Concepts”. Asian Journal of Orthopaedic Research 6 (2):132-37.


Download data is not yet available.


Anizar-Faizi A, Hisam A, Sudhagar KP, Moganadass M, Suresh C. Outcome of surgical treatment for displaced acetabular fractures. Malays Orthop J. 2014;8(3):1-6.

Porter SE, Schroeder AC, Dzugan SS, Graves ML, Zhang L, Russell GV. Acetabular fracture patterns and their associated injuries. J Orthop Trauma. 2008;22(3):165-70.

Milenkovic S, Saveski J, Radenkovic M, Vidic G, Trajkovska N. Surgical treatment of displaced acetabular fractures. Srp Arh Celok Lek. 2011;139(7–8):496-500.

Sathappan S, Qi C, Pillai A. Surgical stabilization of pelvic and acetabular fractures: A Review on the Determinants of Clinical Outcomes. Malays Orthop J. 2010;4(1):12–8.

O’Sullivan REM, White TO, Keating JF. Major pelvic fractures: identification of patients at high risk. J Bone Joint Surg Br. 2005;87(4):530–3.

Rockwood and Green’s Fractures in Adults: Rockwood, Green, and Wilkins’ Fracture [Internet]. eBay. Available: Fracture-/33106218747 [Access on 2013 Nov 18].

Harley JD, Mack LA, Winquist RA. CT of acetabular fractures: comparison with conventional radiography. Am J Roentgenol. 1982;138(3):413–7.

Blokhuis TJ, Frolke JP. Is radiation superior to indomethacin to ¨ prevent heterotopic ossification in acetabular fractures: A systematic review. Clin Orthop Relat Res. 2009; 467(2):526-30.

18.Firoozabadi R, O'Mara TJ, Swenson A, Agel J, Beck JD, Routt M. Risk factors for the development of heterotopic ossification after acetabular fracture fixation. Clin Orthop Relat Res. 2014;472(11):3383-8.

Mears DC, Velyvis JH, Chang C-P. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop. 2003;(407):173–86.

Hickok NJ, Shapiro IM. Immobilized antibiotics to prevent orthopedic implant infections. Adv Drug Deliv Rev 2012; 64(12):1165-76.

Giannoudis PV, Nikolaou VS. Surgical techniques—How do I do it? Injury. 2008 Oct;39(10):1113–8.

Letournel E, Judet R, Elson RA. Fractures of the Acetabulum. Berlin, Heidelberg: Springer Berlin Heidelberg; 1993.

Briffa N, Pearce R, Hill AM, Bircher M. Outcomes of acetabular fracture fixation with ten years' follow-up. J Bone Joint Surg Br 2011;93(2):229-36.

Gupta RK, Singh H, Dev B, Kansay R, Gupta P, Garg S. Results of operative treatment of acetabular fractures from the Third World– how local factors affect the outcome. Int Orthop. 2009;33(2):347- 52.

Haidukewych GJ, Scaduto J, Herscovici D Jr, Sanders RW, DiPasquale T. Iatrogenic nerve injury in acetabular fracture surgery: a comparison of monitored and unmonitored procedures. J Orthop Trauma. 2002;16(5):297-301.

Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A metaanalysis. J Bone Joint Surg Br. 2005;87(1):2-9.

Khan SH, Ara I, Raza S, Sipra S. Functional outcome of surgery in patients with acetabular fractures. J Ayub Med Coll Abbottabad. 2013;25(1–2):60-3.

Popovic M, Agarwal A, Zhang L, Yip C, Kreder HJ, Nousiainen MT, et al. Radiotherapy for the prophylaxis of heterotopic ossification: A systematic review and meta-analysis of published data. Radiother Oncol. 2014;113(1):10-7.

Nauth A, Giles E, Potter BK, Nesti LJ, O'brien FP, Bosse MJ, et al. Heterotopic ossification in orthopaedic trauma. J Orthop Trauma. 2012; 26(12):684-8.

Dunbar RP Jr, Gardner MJ, Cunningham B, Routt ML Jr. Sciatic nerve entrapment in associated both-column acetabular fractures: a report of 2 cases and review of the literature. J Orthop Trauma. 2009;23(1): 80-3.