Matta’s criteria may be useful for evaluating and predicting the reduction quality of simultaneous acetabular and ipsilateral pelvic ring fractures
Abstract Background Although the incidences, fracture types, and radiological outcomes for simultaneous ipsilateral pelvic ring and acetabular fractures were reported, there have been no reports on factors that may affect reduction quality of an acetabular fracture. Here, we evaluate the radiological outcomes of patients treated for simultaneous ipsilateral pelvic and acetabular fractures and analyze the factors that affect the reduction quality of acetabular fractures.Methods We conducted a retrospective review of patients treated for simultaneous ipsilateral pelvic ring and acetabular fractures between 2016 to 2020. Potential factors were analyzed to predict inadequate reduction of the acetabular fractures.Results Data from 27 hips of 26 patients were collected. AO B2.2 and anterior columnar fractures were the most common fracture types of the pelvic ring and acetabular fractures, respectively. Univariate analysis revealed that Matta’s criteria for pelvic ring fracture may be useful for predicting fair to poor reduction quality of acetabular fractures on X-rays. Furthermore, associated fractures identified by Letournel’s classification system on CT scan may be factors for predicting greater step-offs.Conclusions The associated fractures identified via Letournel’s classification may be factors that contribute to inadequate reduction for such fractures. Matta’s criteria for pelvic ring fractures may also be useful for predicting the similar risk of inadequate reduction of the acetabulum on X-ray scans. These findings may be applied intraoperatively by fluoroscopy before the beginning of osteosynthesis for acetabular fractures.