35 papers, newest 30 shown · updated 2026-09-26 · Orthopaedic Trauma · All topics
The newest papers on pelvic and acetabular fractures from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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In ICU patients with pelvic fractures, elevated baseline RDW-CV independently predicted higher 30-, 90-, and 365-day mortality, supporting its use as a simple early risk-stratification marker.
In stability-indeterminate LC1 pelvic fractures with 12-16mm stress displacement, surgery reduced early adverse outcomes, but the finding was statistically fragile and needs prospective confirmation before changing practice.
In 79 patients with hemodynamically unstable pelvic fractures, TAE patients were older and had more acetabular involvement, but pre-embolization external fixation did not delay time-to-embolization or affect the 22% one-year mortality rate.
A single-position, fully anterior fix-and-replace strategy (pararectus fixation plus direct anterior THA) in 20 elderly patients with acetabular fractures achieved acceptable functional outcomes but a 20% two-year revision rate.
In 98 patients with surgically treated unstable pelvic ring injuries followed over 6.7 years, poor fracture reduction and polytrauma independently predicted worse long-term quality of life.
Management of Pelvic Fractures With Urogenital Injuries.
This review outlines diagnosis and multidisciplinary management of urogenital injuries complicating pelvic fractures, noting modern evidence supports selective internal fixation without increased infection risk.
Effect of Perioperative Tranexamic Acid on Blood Loss in Posterior Acetabular Fracture Fixation.
In 591 patients undergoing posterior approach acetabular fracture fixation, perioperative IV tranexamic acid was not independently associated with reduced blood loss, transfusion needs, or improved outcomes—operative time and fracture characteristics mattered more.
Functional Outcomes of Pediatrics and Adolescent Pelvic Fractures: A Systematic Review.
A systematic review of 731 pediatric pelvic fracture patients found over 90% regained independent ambulation regardless of treatment, though structural complications like pelvic asymmetry occurred in a notable minority.
In 160 open pelvic fracture patients, antibiotic regimens varied widely and prolonged/broader therapy reflected injury severity rather than infection prevention, with transfusion and colorectal injury predicting organ-space SSI.
In vertically unstable pelvic ring injuries, multilevel sacral fixation with at least one transsacral screw dramatically reduced failure (2.6% vs 48.3%) and revision rates compared to single-level or SI-screw-only fixation.
This systematic review found that in patients under 60 with acetabular fracture ORIF, conversion to THA occurs a mean of ~5 years later with good but time-limited implant survivorship (95% at 5 years, declining to 70-80% at 15 years) and higher complication rates than primary THA.
In 200 surgically treated geriatric fragility pelvic fractures, 15.5% had postoperative complications linked to higher bleeding and ASA class, leading to longer hospital stays but no clear effect on mortality or discharge disposition.
In frail geriatric patients with non-reconstructable acetabular fractures, combined navigated percutaneous column screw fixation with THA enabled immediate weight-bearing and restored pre-injury mobility in most patients, with low revision rates.
Evaluation of erectile dysfunction following pelvic fractures: A retrospective analysis.
In a trauma cohort, erectile dysfunction occurred in 4.9% of men after pelvic fracture, with pelvic embolization as the only independent risk factor, supporting targeted urological screening.
In this small case series, external iliac artery injury combined with severe pelvic ring trauma nearly always led to limb loss despite revascularization attempts, suggesting earlier consideration of hemipelvectomy in select cases.
In a retrospective cohort of 89 pelvic fracture patients, AI-assisted Holosight robotic percutaneous screw fixation reduced operative time, blood loss, and fluoroscopy use versus conventional fixation, with similar functional outcomes.
In percutaneous fixation of lateral compression pelvic ring injuries, bicortical (vs. unicortical) anterior ring implant purchase—not implant diameter—was the key factor reducing radiographic loss of reduction/deformity.
Robotic-assisted pelvic fracture reduction improves reduction quality and decreases fluoroscopic exposure compared to manual reduction without improved short-term functional outcomes.
Both anterior infix and retrograde pubic screw fixation achieve comparable functional outcomes for unstable anterior pelvic fractures; retrograde screws offer less blood loss and complications.
Intraoperatively contoured reconstruction plates via anterior approach yield excellent reduction and functional outcomes in acetabular posterior column fractures.
Acute Total Hip Arthroplasty for Acetabular Fractures.
In select high-risk acetabular fracture patients, acute total hip arthroplasty may lower revision rates versus fixation alone, though robust long-term data are still lacking.
Understanding Acetabular Fractures: A Comprehensive Review.
This narrative review reframes acetabular fracture classification into two major pattern families to simplify decision-making beyond the complex Judet-Letournel system, covering imaging, surgical planning, and geriatric considerations.
Fixation Versus Acute Total Hip Arthroplasty for Acetabular Fracture: A Cost-Effectiveness Analysis.
A cost-effectiveness model of acetabular fracture treatment found ORIF more cost-effective under age 68, while acute total hip arthroplasty was more cost-effective at age 68 and older.
Surgical Treatment of an Acetabular Fracture Using a Novel Intrapelvic Acetabular System.
Novel three-dimensional acetabular plate enables anatomic reduction of complex acetabular fractures with successful consolidation and functional restoration.
Narrative review outlines that THA after acetabular fractures, in adolescents, as fixation-failure conversions, or with hip dysplasia carries higher complication risk but can still yield good outcomes with careful planning.
Orthogeriatric co-management in pelvic and acetabular fractures.
Review argues that orthogeriatric co-management of pelvic and acetabular fractures improves complication detection, speeds mobilization, and reduces revision surgery, supporting standardized interdisciplinary protocols.
This state-of-the-art article proposes sequencing strategies for combined pelvic ring and acetabular fractures, generally favoring a 'pelvic ring first' approach while individualizing timing and order based on fracture pattern and patient factors.
This review details pediatric-specific anterior and posterior pelvic ring injury patterns tied to growth plates and describes how these unique lesions guide fixation choices like external fixation or percutaneous screws.
This narrative review outlines classification systems and evolving surgical fixation strategies for spinopelvic dissociation, favoring minimally invasive techniques where feasible to reduce complications.
Pelvic Ring Injuries: Stable or Not?
Placeholder.
Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures
In 39 mold arthroplasties for post-traumatic hip arthritis, later cases showed significantly better outcomes with low complication rates, supporting arthroplasty as a durable option over fusion in selected patients.
Anatomical reduction of acetabular fractures predicts clinical outcome, with 71% achieving anatomical reduction and 76% excellent-to-good results; complex fractures and delayed treatment worsen prognosis.
This classic 1964 paper addresses the classification and surgical management of acetabular fractures.
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