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Research ArticleOriginal Article
Open Access

A review of acetabular fracture patterns, etiologies, and management in Jordan

Fadi M. AlRousan, Ahmad K. Almigdad, Murad N. Jwinate, Moh’dkheir A. Aolymate, Fahed Y. Alsarhan and Omar M. Al-Qudah
Saudi Medical Journal June 2023, 44 (6) 607-612; DOI: https://doi.org/10.15537/smj.2023.44.6.20220931
Fadi M. AlRousan
From the Department of Orthopedic, Royal Medical Services, Amman, Jordan.
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Ahmad K. Almigdad
From the Department of Orthopedic, Royal Medical Services, Amman, Jordan.
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  • ORCID record for Ahmad K. Almigdad
  • For correspondence: [email protected]
Murad N. Jwinate
From the Department of Orthopedic, Royal Medical Services, Amman, Jordan.
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Moh’dkheir A. Aolymate
From the Department of Orthopedic, Royal Medical Services, Amman, Jordan.
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Fahed Y. Alsarhan
From the Department of Orthopedic, Royal Medical Services, Amman, Jordan.
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Omar M. Al-Qudah
From the Department of Orthopedic, Royal Medical Services, Amman, Jordan.
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Article Figures & Data

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    Figure 1

    - Comparison of fracture patterns with rroad traffic accident (RTA) and falls. Key: AC: anterior column, AC+PH: anterior column + posterior hemitransverse, AW: anterior wall, B: associated bothcolumn, PC: posterior column, PC+ PW: posterior column + posterior wall, PW: posterior wall, T: transverse, T+PW: pransverse + posterior wall

Tables

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    Table 1

    - Acetabular fracture distribution (N=141).

    Characteristicsn%
    Age
    ≤1932.1
    20-397754.6
    40-644330.5
    ≥651812.8
    Gender
    Male11984.4
    Female2215.6
    Extremity
    Right6747.5
    Left7150.4
    Bilateral32.1
    Mechanism of injury
    RTA8056.7
    Falling down6042.6
    Gun shot10.7
    Hip dislocation
    Yes4028.4
    No10171.6
    Sciatic nerve
    No13192.9
    Pre-traumatic53.5
    Iatrogenic53.5
    Associated injuries
    Isolated injury6546.1
    Other body part injuries7653.9
    Treatment modality
    ORIF9366.0
    Conservative4632.6
    Total hip arthroplasty21.4
    Quality of reduction, n=93
    Satisfactory7883.9
    Unsatisfactory1516.1
    ORIF: open reduction and internal fixation
    • View popup
    Table 2

    - Acetabular fracture patterns frequency (N=141).

    Acetabular fracture patternsn%
    Posterior wall5337.6
    Anterior column2014.2
    Associated both column1812.8
    Transverse + Posterior wall139.2
    Anterior wall117.8
    Posterior column + posterior wall117.8
    Transverse96.4
    T-type32.1
    Posterior column21.4
    Anterior column + Posterior hemitransverse10.7
    • View popup
    Table 2

    - Bivariate comparison between acetabular fracture patterns and others variables.

    Mean Age (SD)ACAC+PHAWBPCPCPWPWT typeTT+PWTest statisticP-value
    42.80 (20.107)47.0048.64 (22.151)53.56 (21.086)52.00 (1.414)46.18 (19.073)37.09 (13.483)33.33 (14.572)43.22 (14.754)40.54 (16.860)F=1.8080.072
    Age categories
    ≤190 (0)0 (0.0)2 (18.2)1 (5.6)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (.00)0 (0.0)χ2=47.6410.008
    20-3914 (70.0)0 (0.0)2 (18.2)4 (22.2)0 (0.0)6 (54.5)37 (69.8)2 (66.7)4 (44.4)8 (61.5)
    40-642 (10.0)1 (100)4 (36.4)7 (38.9)2 (100)4 (36.4)13 (24.5)1 (33.3)5 (55.6)4 (30.8)
    ≥654 (20.0)0(0.0)3 (27.3)6 (33.3)0 (0.0)1 (9.1)3 (5.7)0 (0.0)0 (0.0)1 (7.7)
    Gender
    Female3 (15.0)0(0.0)6 (54.5)4 (22.2)0 (0.0)1 (9.1)6 (11.3)1 (33.3)0 (0.0)1 (7.7)χ2=15.9690.068
    Male17 (85.0)1 (100)5 (45.5)14 (77.8)2 (100)10 (90.9)47 (88.7)2 (66.7)9 (100)12 (92.3)
    Extremity
    Bilateral2 (10.0)0(0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0(0.0)0 (0.0)1 (11.1)0 (0.0)χ2=15.8290.604
    Left10 (50.0)1 (100)3 (27.3)9 (50.0)1 (50.0)4 (36.4)29 (54.7)2 (66.7)5 (55.6)7 (53.8)
    Right8 (40.0)0 (0.0)8 (72.7)9 (50.0)1 (50.0)7 (63.6)24 (45.3)1 (33.3)3 (33.3)6 (46.2)
    Treatment modality
    ORIF13 (65.0)1 (100)0 (0.0)1 (66.7)2 (100)9 (81.8)34 (64.2)3 (100)9 (100)10(76.9)χ2=42.2340.001
    Conservative7 (35.0)0(0.0)11 (100)6 (33.3)0 (0.0)2 (18.2)17 (32.1)0 (0.0)0 (0.0)3(23.1)
    THA0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)2 (3.8)0 (0.0)0 (0.0)0 (0.0)
    Mechanism of injury
    Falling down14 (70.0)1(100)9 (81.8)10 (55.6)2(100)4 (36.4)11(20.8)1(33.3)4 (44.4)4 (30.8)χ2=37.3150.005
    Gun Shot1 (5.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)
    RTA5 (25.0)0 (0.0)2 (18.2)8(44.4)0 (0.0)7 (63.6)42 (79.2)2(66.7)5 (55.6)9 (69.2)
    Hip dislocation
    Yes3 (15.0)0 0.0)0 (0.0)1 (5.6)1 (50.0)1 (9.1)26 (49.1)1(33.3)1 (11.1)6 (46.2)χ2=32.5810.000
    Sciatic Nerve
    Pre-traumatic0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)5 (9.4)0 (0.0)0 (0.0)0 (0.0)  
    Iatrogenic0 (0.0)0 (0.0)0 (0.0)1 (5.6)0 (0.0)1 (9.1)2 (3.8)0 (0.0)0 (0.0)1 (7.7)χ2=14.8340.673
    Associated Injuries
    Multiple12 (60.0)1 (100)6 (54.5)9 (50.0)1 (50.0)3 (27.3)29 (54.7)2 66.7)5 (55.6)8 (61.5)χ2=5.4040.798
    AC: anterior column, AC+PH: anterior column + posterior hemitransverse, AW: anterior wall, B: associated both column, PC: posterior column, PC+PW: posterior column + posterior wall, PW: posterior wall, T: Transverse, T+PW: transverse + tosterior wall, THA: total hip arthroplasty, RTA: road traffic accident, ORIF: open reduction and internal fixation
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Saudi Medical Journal: 44 (6)
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A review of acetabular fracture patterns, etiologies, and management in Jordan
Fadi M. AlRousan, Ahmad K. Almigdad, Murad N. Jwinate, Moh’dkheir A. Aolymate, Fahed Y. Alsarhan, Omar M. Al-Qudah
Saudi Medical Journal Jun 2023, 44 (6) 607-612; DOI: 10.15537/smj.2023.44.6.20220931

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A review of acetabular fracture patterns, etiologies, and management in Jordan
Fadi M. AlRousan, Ahmad K. Almigdad, Murad N. Jwinate, Moh’dkheir A. Aolymate, Fahed Y. Alsarhan, Omar M. Al-Qudah
Saudi Medical Journal Jun 2023, 44 (6) 607-612; DOI: 10.15537/smj.2023.44.6.20220931
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Keywords

  • acetabulum
  • fracture
  • epidemiology
  • Jordan

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