From the Department of Orthopedic, Royal Medical Services, Amman, Jordan.
Saudi Med J. 2023 Jun;44(6):607-612. doi: 10.15537/smj.2023.44.6.20220931.
To review the epidemiology of acetabular fractures in Jordan and to provide a base to advance high-level clinical research in the future.
A total of 141 acetabular fractures admitted to King Hussein Medical City, Amman, Jordan, from July 2018 to December 2022 were reviewed retrospectively. Fractures were classified according to Judet and Letournel and were analyzed regarding age, gender, the cause of injury, fracture classification, mode of treatment, and associated nerve and other body part injuries.
Males represented 84.4% of patients. The mean age was 42.52 (±17.655) years, and the age group from 20 to 39 represented 54.6% of patients. Road traffic accidents caused 56.7% of injuries, and 53.9% had other accompanying injuries. Posterior wall fractures were the most common (37.6%) patterns, and femoral head dislocation was reported in 28.4%. Posttraumatic and iatrogenic sciatic nerve injuries were reported in 7% of patients. The mean time from admission to surgery was 7.62 (±7.915) days; 66% of patients received surgical treatment, and 83.9% had a satisfactory reduction.
Acetabular fractures are uncommon injuries, with road traffic accidents being the most common cause of injury. Posterior wall fracture was the most frequent pattern; most patients were males. Our results are comparable to the literature. However, we recommend future studies to measure the outcome of acetabular fracture management.
回顾约旦髋臼骨折的流行病学情况，并为未来开展高水平临床研究提供基础。
回顾性分析 2018 年 7 月至 2022 年 12 月期间入住约旦安曼侯赛因国王医学城的 141 例髋臼骨折患者的临床资料。骨折根据 Judet 和 Letournel 进行分类，并分析患者的年龄、性别、损伤原因、骨折分类、治疗方式以及合并的神经和其他身体部位损伤情况。
男性占患者的 84.4%。平均年龄为 42.52（±17.655）岁，20 至 39 岁年龄组占 54.6%。道路交通事故导致 56.7%的损伤，53.9%有其他伴随损伤。后壁骨折最常见（37.6%），股骨头脱位占 28.4%。报告有 7%的患者发生创伤性和医源性坐骨神经损伤。从入院到手术的平均时间为 7.62（±7.915）天；66%的患者接受了手术治疗，83.9%的患者获得了满意的复位。
髋臼骨折是不常见的损伤，道路交通事故是最常见的损伤原因。后壁骨折是最常见的类型；大多数患者为男性。我们的结果与文献相似。然而，我们建议未来的研究测量髋臼骨折管理的结果。
