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Issue: Vol. 561 No. 3 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v561i3.18463
Date Published: 11/08/2026
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Downloads 31
How to Cite
Nguyễn, V. Đ., Đặng, T. K., Lê, M. S., Đoàn, L. V., & Phạm, T. G. (2026). EVALUATION OF TREATMENT OUTCOMES OF POSTERIOR WALL ACETABULAR FRACTURES AT VIET DUC UNIVERSITY HOSPITAL. Vietnam Medical Journal, 561(3). https://doi.org/10.51298/vmj.v561i3.18463

EVALUATION OF TREATMENT OUTCOMES OF POSTERIOR WALL ACETABULAR FRACTURES AT VIET DUC UNIVERSITY HOSPITAL

Văn Đạt Nguyễn1,2, , Trung Kiên Đặng1, Mạnh Sơn Lê1, Lê Vinh Đoàn1, Thu Giang Phạm
1 Bệnh viện Hữu nghị Việt Đức
2 Trường Đại học Y Hà Nội

Main Article Content

Abstract

Objective: To evaluate the outcomes of open reduction and internal fixation (ORIF) for posterior wall acetabular fractures at Viet Duc University Hospital and to analyze factors influencing clinical results.


Methods: A retrospective cross-sectional study was conducted on 36 patients with posterior wall acetabular fractures who underwent ORIF between January 2023 and June 2025. Outcomes were assessed using the Harris Hip Score (HHS), the modified Merle d’Aubigné score, and the quality of reduction according to Matta’s criteria.


Results: The mean age of the patients was 38.9 ± 13.2 years, with males accounting for 80.6%. Road traffic accidents were the main cause of injury (83.3%). Associated injuries included hip dislocation (66.7%), comminuted bone fragments (19.4%), and sciatic nerve palsy (8.3%). The mean time from injury to surgery was 3.83 ± 1.46 days. The most common fixation method was dual parallel plates (50%). Postoperative reduction was anatomical in 77.8% of cases and acceptable in 22.2%. The mean HHS was 84.4 ± 5.3, with 75% of patients achieving good results, 19.4% excellent, and 5.6% fair outcomes. The mean modified Merle d’Aubigné score was 16.2 ± 1.2, with 72.2% good, 22.2% excellent, and 5.6% fair results. Complications included avascular necrosis and osteoarthritis in 5.6% of cases each, and sciatic nerve injury in 2.8%; no cases of deep infection or heterotopic ossification were observed. The only statistically significant prognostic factor was femoral head necrosis (p < 0.05).


Conclusion: ORIF for posterior wall acetabular fractures at Viet Duc University Hospital provided good to excellent functional outcomes in most patients, with a low complication rate. Anatomical reduction and the prevention of femoral head necrosis are key determinants of long-term outcomes.

Keywords

Acetabular fracture, posterior wall, ORIF, Harris Hip Score, Merle d’Aubigné

Article Details

References

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