Epidemiological, clinical and therapeutic characteristics of acetabular fracture in a country with a low economic level

Abstract

Introduction: Acetabular fractures are rare lesions and quite often problems of therapeutic management. We have few studies in African literature. The aim of this work is to describe the main epidemiological, diagnostic, therapeutic characteristics of acetabular fractures in our country. Patients and Method: The authors report an experience of 5 years, through a retrospective descriptive mono-centric study of 41 files of acetabular fracture. Incomplete files, without imagery, patients not initially treated in the department and those lost to follow-up were not included in the study. We analyzed the following parameters: epidemiological, clinical-radiological, and therapeutic.Results and Discussion: The series included 32 men, 9 women with an average age of 38 years and 72% was of low socio-economic level. The most common etiology was 70.7% (29 cases). Fractures were dominated by posterior wall fractures with 36.6% of cases (15 cases). Associated lesions were dominated by hip dislocations and limb fractures in 56.1% (23) and 41.5% (17) of the cases, respectively. Management was orthopedic in 56.1% of cases and surgical in 45.9% of cases. Complications are dominated by joint stiffness, vicious callus, and post-traumatic hip osteoarthritis respectively in 46.3% (19 cases) 51.2% (21 cases) and 60.1% (25 cases). The average PMA score was pair (12.5 points). Conclusion: Acetabular fractures are the preserve of young men. The functional prognosis remains but highly dependent on the therapeutic method.