New Insights into Orthopedic Trauma Surgery—Pelvic and Acetabular Fracture Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 1879

Special Issue Editors


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Guest Editor
Center for Musculoskeletal Surgery, Charité–Universitätsmedizin Berlin, 10117 Berlin, Germany
Interests: pelvic and acetabular surgery; trauma surgery; polytrauma management

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Guest Editor
Department of Trauma, Hand and Reconstructive Surgery, Rostock University Medical Center, 18057 Rostock, Germany
Interests: pelvic and acetabular surgery; tumor surgery; tumor endoprostheses; reconstructive surgery; polytrauma management
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Special Issue Information

Dear Colleagues,

Pelvic and acetabular fractures are major injuries that present a considerable challenge in terms of their treatment. They typically occur as a result of high-energy mechanisms and are frequently associated with concomitant injuries and life-threatening conditions. However, there has been an increase in the incidence of these injuries among the elderly population following low-energy trauma. Over the past decade, changes in demographics and fracture patterns have resulted in a need to adapt surgical strategies, with an increased utilization of intrapelvic approaches and the advent of novel implants. Indeed, this patient group is among the fastest growing one in orthopedic fracture care.

We invite submissions of original research articles and reviews for this Special Issue. Areas of research may include the following:

Basic research, biomechanical studies, clinical trials, and reviews related to pelvic and acetabular surgery. Priority will be given to studies that contribute new knowledge and innovation.

The content may include, but is not limited to, the following:

  • Fragility fractures of the pelvis;
  • The experience, capabilities, and limitations of minimally invasive or laparoscopically assisted approaches;
  • The indications, advantages, limitations, and outcomes of intrapelvic approaches;
  • The clinical and radiological outcomes following pelvic and acetabular surgery;
  • The treatment of traumatic hip dislocation;
  • New implants;
  • Tumor surgery.

We look forward to receiving your contributions.

Dr. Vera Jaecker
Dr. Sven Märdian
Guest Editors

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Keywords

  • acetabular fractures
  • pelvic fractures
  • trauma surgery
  • intrapelvic approaches
  • fragility fractures of the pelvis
  • minimally invasive approaches
  • new implants
  • innovations

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Published Papers (2 papers)

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Review

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12 pages, 234 KiB  
Review
Advances in Managing Pelvic Fractures in Polytrauma: A Comprehensive Review
by Uros Dabetic, Jovana Grupkovic, Slavisa Zagorac, Dejan Aleksandric, Nikola Bogosavljevic and Goran Tulic
J. Clin. Med. 2025, 14(5), 1492; https://doi.org/10.3390/jcm14051492 - 23 Feb 2025
Viewed by 888
Abstract
Background: Pelvic fractures are among the most complex and life-threatening injuries encountered in trauma and orthopedic surgery, often resulting from high-energy trauma and leading to severe complications. This review synthesizes recent advancements in pelvic trauma care, with a focus on comparing damage control [...] Read more.
Background: Pelvic fractures are among the most complex and life-threatening injuries encountered in trauma and orthopedic surgery, often resulting from high-energy trauma and leading to severe complications. This review synthesizes recent advancements in pelvic trauma care, with a focus on comparing damage control orthopedics (DCO) and early total care (ETC) strategies, operative versus nonoperative management, and outcomes of minimally invasive versus traditional ORIF techniques. Results: Our comparative analysis highlights that DCO remains the preferred approach for hemodynamically unstable patients, prioritizing rapid stabilization and reducing mortality from hemorrhage. In contrast, ETC has demonstrated superior functional recovery outcomes in stable polytrauma patients, with a 30–40% reduction in pulmonary complications and shorter ICU stays when performed within 24–48 h post-injury. Additionally, percutaneous fixation reduces soft tissue trauma and infection risk but increases the likelihood of malunion, while ORIF provides superior anatomical restoration with a higher risk of postoperative infections. Hybrid approaches, integrating percutaneous techniques with limited open reduction, show promise in minimizing operative time and complications while achieving stable fixation. Conclusions: These findings reinforce the importance of tailoring surgical strategies to patient physiology and injury patterns. DCO and ETC have distinct but complementary roles, and emerging hybrid techniques offer a middle ground that balances stability with reduced morbidity. A precision medicine approach, integrating AI-driven predictive modeling and real-world clinical data, is essential for optimizing outcomes and developing evidence-based treatment protocols. Large-scale, multicenter trials are needed to validate these approaches and establish standardized guidelines for pelvic fracture management. Full article

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13 pages, 928 KiB  
Systematic Review
Sexual and Urinary Dysfunction Following Isolated Acetabulum Fractures: A Systematic Review of the Literature
by Sophia M. Wakefield, Nikolaos K. Kanakaris and Peter V. Giannoudis
J. Clin. Med. 2025, 14(1), 230; https://doi.org/10.3390/jcm14010230 - 3 Jan 2025
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Abstract
Background/Objectives: Acetabular fractures are rare fractures of the pelvis which usually result from trauma. Whilst data are reported on sexual and genitourinary function in those with pelvic fractures, less is known about those with isolated acetabulum fractures. This systematic review aimed to determine, [...] Read more.
Background/Objectives: Acetabular fractures are rare fractures of the pelvis which usually result from trauma. Whilst data are reported on sexual and genitourinary function in those with pelvic fractures, less is known about those with isolated acetabulum fractures. This systematic review aimed to determine, first, the frequency of sexual and genitourinary dysfunction following isolated acetabulum fractures and, second, the nature of these complications. Methods: A PRISMA strategy was used. Medline, Cochrane Central Register of Controlled Trials, Scopus, and EMBASE library databases were interrogated using pre-defined MeSH terms and Boolean operators. Quality of evidence was evaluated based on OCEBM and GRADE systems. Results: Seven studies based on 648 individuals were identified with a mean follow-up time of 33.6 ± 22.4 months. Five papers described sexual functional outcomes, and two reported genitourinary function. Acetabulum fractures were noted to have an impact on sexual function ranging from 20.0% to 39.8% within the groups analysed. With respect to genitourinary outcomes, incidence of lower urinary tract injury and spontaneous voiding failure was quite low, but due to the existence of little data, firm conclusions cannot be made. Conclusions: This review has highlighted a paucity of data related to outcomes of sexual and genitourinary function in patients who are post-acetabulum fracture. The limited available data suggests that acetabular fractures have an impact on sexual function, but the impact on genitourinary function is less clear. Further prospective work is required to better understand the relationship between baseline demographics, injury characteristics, injury mechanism and concurrent injuries, and surgical fixation and acetabular-fracture outcomes. Full article
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