Tunis Med. 2021 Feb;99(2):259-263.
Management of acetabular fracture in the elderly patients is becoming an increasingly topic of debate. Data from different parts of the world specified particularities of their patients.
To describe patterns of these fractures in the Tunisian patients aged > 60, which can contribute to management and preventive plans.
We performed a retrospective review from 1997 to 2016 treated at the Charles Nicolle university hospital. Information regarding demographics, co morbidities, mechanism of injury, Injury Severity Score (ISS), types and levels of injury, treatment type, and mortality were collected.
The mean age of our patients was 68,6 years (range 60-94 years). The male to female ratio was 3:85.Main causes were motor vehicle accident. Most of our patients were in good health. The associated lesions were very frequent and present in 64.7% of cases with a clear predominance of cranio-fascial trauma, with a median of the ISS score at 11. According to the Judet and Letournel classification, 18 elementary fractures and 16 complex fractures were reported with predominance of the anterior column-posterior hemitransverse fracture pattern. Posterior wall fracture in the elderly is often associated with comminution and / or marginal impaction and / or posterior dislocation of the hip. Fractures of the anterior segment are often associated with hip protrusion and / or quadrilateral plate involvement and / or the superomedial roof impaction or "Gull sign".
As our population continues to age, traumatic acetabular fractures will become more prevalent. Appropriate screening strategies, treatment and prevention plans will need to be developed to improve outcomes in this devastating injury.
老年人髋臼骨折的治疗正成为一个日益受到关注的话题。来自世界各地的数据指出了其各自患者的特殊性。
描述在突尼斯 > 60 岁的患者中这些骨折的类型，这有助于管理和预防计划。
我们对 1997 年至 2016 年在查尔斯·尼科尔大学医院治疗的患者进行了回顾性研究。收集了人口统计学、合并症、损伤机制、损伤严重程度评分（ISS）、损伤类型和水平、治疗类型和死亡率等信息。
我们患者的平均年龄为 68.6 岁（60-94 岁）。男女比例为 3:85。主要原因为机动车事故。我们大多数患者的健康状况良好。伴发损伤非常常见，占 64.7%，其中颅面创伤明显居多，ISS 评分为中位数 11。根据 Judet 和 Letournel 分类，报告了 18 个单纯性骨折和 16 个复杂性骨折，以前柱-后柱半横行骨折模式为主。老年人后壁骨折常伴有粉碎和/或边缘嵌插和/或髋关节后脱位。前柱骨折常伴有髋关节前突和/或四边形板受累和/或Superomedial 顶骨嵌插或“Gull 征”。
随着人口老龄化，创伤性髋臼骨折的发病率将继续增加。需要制定适当的筛查策略、治疗和预防计划，以改善这种破坏性损伤的预后。
