Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: Acetabular fractures are severe injuries primarily resulting from high-energy trauma, with significant morbidity and complex management challenges.Despite increasing incidence globally, comprehensive epidemiological data in Bangladesh remain limited.Objective: This study aimed to delineate the epidemiological profile, injury mechanisms, fracture patterns, associated injuries, treatment modalities, and clinical outcomes of acetabular fractures in a tertiary care center in Bangladesh.Methods: A prospective observational study was conducted involving 200 consecutive patients with radiologically confirmed acetabular fractures.Data on demographics, mechanism of injury, fracture classification according to Letournel and Judet, associated injuries, treatment methods, complications, and time intervals to hospital presentation were systematically collected and analyzed descriptively.Result: The cohort had a mean age of 38.6 ± 12.4 years, predominantly male (79%), with the majority residing in urban areas (60.5%).Road traffic accidents constituted the predominant injury mechanism (64%), followed by falls from height (23%).Posterior wall fractures were the most prevalent fracture pattern (36%), with associated fractures observed in 41% of patients.Surgical management was employed in 70% of cases, mainly open reduction and internal fixation (60%).The mean hospital stay was 8.5 ± 3.2 days.In-hospital complications occurred in 25% of patients, with surgical site infection (13.5%) being the most common.Mortality was low (1.5%).Notably, only 26.5% of patients presented within six hours of injury.Conclusion: The present study highlights a predominance of acetabular fractures in young urban males, primarily caused by road traffic accidents.Posterior wall fractures are the most frequent pattern encountered.Surgical intervention remains the cornerstone of treatment, although delayed hospital presentation is a significant concern.These findings underscore the necessity for enhanced trauma prevention strategies and expedited care pathways in Bangladesh.
Source: ARC Journal of Orthopedics
Authors: Liton Chandra Dey, Md. Ferdous Talukder, Mizanur Rahman, Lehai Uddin, Tajuddin Molla
Institution: Dhaka National Medical College
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412615499