Acetabular Fractures: When Surgery Is Needed & Treatment Options

Fractures of acetabulum are challenging orthopedic injuries. Basically, it is a break in the socket portion of the ball-and-socket hip joint that allows for smooth movement. An acetabular fracture usually causes a loss of motion and function. Often the result of high-impact trauma, such as accidents or falls from significant height, these fractures are not as common as hip fracture.  

Beyond being extremely painful, an acetabular fracture may result in a loss of physical function, decreased social engagement, increased dependence, and worse quality of life. Therefore, it is advised to seek medical attention as soon as possible to restore functionality and movement. It is essential to identify the symptoms and comprehend the dangers of acetabular fractures in order to get treatment as soon as possible.

Felix Hospital, the best orthopedic hospital in Noida and Greater Noida, is the place to go if you or a loved one is experiencing hip discomfort or mobility problems following an injury. We specialize in treating complex trauma involving the pelvis, hip, knee, foot & ankle and shoulder injuries. We are pioneers in joint replacement surgeries using modern techniques.

Understanding the Disease

The acetabulum is the socket of the hip joint that connects the pelvis to the femur. Fractures in this region can disrupt the alignment of the hip joint, leading to pain, instability, and limited mobility. These fractures are considered serious due to the complexity of the hip joint structure. The severity of an acetabular fracture depends on the extent of the damage and whether the surrounding cartilage and tissues are affected. In fact, the fractures of the acetabulum are challenging orthopedic injuries to repair.

Causes of Acetabular Fractures

As mentioned, acetabular fractures typically occur due to high-intensity trauma. Some of the common causes include:
 

• Accidents:  One of the main causes of acetabular fractures is auto and motor vehicle accidents.
   
• Age: Acetabular fractures are more likely to occur in individuals over 65 years or older. They’re primarily a result of a fall, or when the hip collides with a solid object.
   
• Falls & Weakened Bones: This is a common cause, especially in older adults with osteoporosis where even a minor fall can lead to a fracture.
   
• Sports Injuries: Football and other high-impact sports can cause acetabular fractures.
  Bone Conditions & Deficiencies: Osteoporosis, hip arthritis or bone cancer can weaken the hip bone, increasing the risk of fractures.
   

When to Seek Surgery for Acetabular Fractures: Signs & Symptoms 

Recognizing the early signs and symptoms of an acetabular fracture is essential for seeking timely medical care and restoring movement. The following are some common symptoms of an acetabular fracture:
 

• Severe pain in the hip or groin area;
   
• Inability to get up from the fall; 
   
• Inability to place weight on the injured or affected side;
   
• Swelling or bruising in and around the hip joint;
   
• Outward turning of your leg on the side of your injured hip;

• Limited range of motion in the hip joint.

   

Diagnosis

Imaging tests and clinical assessment are used in conjunction to diagnose an acetabular fracture. These include:
 

• Physical Examination:  The doctor will assess you based on your range of motion, degree of pain, and any obvious abnormalities.
   
• X-rays: An X-ray can reveal the location and extent of the fracture.
   
• CT Scan: A CT Scan provides a detailed view of the fracture and its impact on the hip joint.
   
• MRI: These aid to evaluate soft tissue damage or cartilage injury.

Risks Associated With Acetabular Fracture
 

• Post-traumatic arthritis: The fracture of acetabulum puts patients at risk of developing post-traumatic arthritis, which may result in the need for hip replacement. 
   
• Avascular necrosis: During this condition, the blood supply to the femoral head is damaged to an extent that the bone subsequently dies and collapses, resulting in hip pain.
   
• Other injuries: Acetabular fractures are commonly associated with multiple other injuries, such as to the abdomen, chest or head.

Treatment Options for Acetabular Fractures

Treatment for acetabular fractures depends on the severity of the fracture, as well as the patient’s age and overall health. However, in patients with hip dislocation or wide displacement, surgery is performed. 
Nonsurgical or conservative treatment may be necessary in rare instances, like, if someone is too frail to cope with the surgery or if the bone is not broken or displaced. 
The treatment also includes medication for pain management, bed rest and physiotherapy.

Surgical Treatment

The type of surgery for an acetabular fracture depends on a number of factors, including the location of the fracture, whether it is inside or outside the hip capsule (intracapsular), the severity of the fracture (whether the bones are displaced or not), the patient's age and underlying medical conditions, etc. Felix Hospitals, the best hospital in Noida, specializes in advanced surgical techniques for acetabular fractures, ensuring optimal outcomes for patients. The surgical options include: 
 

• Open Reduction and Internal Fixation (ORIF): Metal plates, screws, or nails are inserted into the femur, the upper thigh bone, to hold it together while the fracture heals.
   
• Total Hip Replacement: If your acetabulum is weak or too damaged to repair, your surgeon may perform a total hip replacement. In this procedure, the upper thigh bone (femur) as well as the socket/cup in the pelvic bone are replaced with the prosthesis. Total hip replacement is indicated in relatively young healthy adults with displaced or damaged hips as this gives better long- term outcomes to walk independently without any aids.

Rehabilitation / Post Surgery Care

Rehabilitation helps to regain mobility and independence as soon as possible. It depends upon the type of surgery:
 

• In case of internal fixation with nails, metal screws and plates, patients are advised not to bear weight or partial weight for at least 6 weeks.
   
• In case of total hip replacement, patients will be moved out of the bed (the day after surgery) but with the help of a walker.
   
• Range-of-motion and strengthening exercises.
   
• Physiotherapists will teach the techniques to regain mobility so as to be able to perform daily chores, such as using the toilet, bathing, dressing and cooking.
   
• Physiotherapists will determine the duration of walker or walking sticks required to help regain mobility and independence.

Prevention

While not all acetabular fractures can be prevented, certain measures can certainly reduce the risk:

• Maintain Bone Health: Prioritize nutrition for bone healing by including calcium and vitamin D-rich foods in your diet. These nutrients are essential for keeping your bones strong and resilient.
   
• Exercise Regularly: Practice weight-bearing exercises to improve bone density and bone strengthening exercises.
   
• Use Protective Gear: Wear seat belts and helmets while driving and protective equipment during high-risk sports.
   
• Prevent Falls: Make sure your home is not cluttered and has enough room to walk for elderly to prevent any falls.

Meet the Best Doctor at Felix Hospitals
 

At Felix Hospitals, we provide the latest and best treatments for the fractures of and around the hip and pelvis region. Our tailored treatments will help you regain your mobility and independence as soon as possible.
 

We have a team of orthopedic surgeons, led by Dr Piyush Kumar Singh, Dr. Keshav Goel, Dr Binay Kumar Sahu, and Dr. Varun Aggarwal who delivers accurate diagnosis and treatments using minimal invasive fracture fixation, complex fracture fixation, periarticular joint fracture fixation, joint sparing surgeries for early osteoarthritic conditions, and total joint replacements, and deformity correction. We also provide solutions for all kinds of sports injuries and personalized rehabilitation programs.

At the best hospital for Orthopedic conditions, we use cutting-edge technology to treat fractures of acetabulum. To book your consultation contact us at  +91 9667064100.

Conclusion

Acetabular fractures are serious injuries that require timely diagnosis and appropriate treatment to restore mobility and prevent complications. Whether you need conservative care or surgical intervention, understanding the signs, risks, and treatment options is crucial. Felix Hospitals offers world-class orthopedic care, ensuring that you receive the best possible treatment for acetabular fractures. We also provide nursing care and physiotherapy services at home. 
 

Don’t let hip pain hold you back—reach out to Felix Hospitals today and regain your mobility to lead a quality life .

FAQs
 

1. Can I get back to running or playing sports after acetabular surgery?
Ans: Most patients have to continue with physical therapy for 6 to 12 months after surgery. Exercises such as running or playing outdoor sport do not commence until full weight bearing happens.
 

2. When is surgery required for acetabular fractures?
Ans: Surgery is needed for displaced fractures or when the hip joint alignment is compromised, causing instability.
 

3. How long does recovery take after acetabular fracture surgery?
Ans: Recovery typically takes 3-6 months, depending on the severity of the fracture and the surgical approach.
 

4. What are the risks associated with acetabular fracture surgery?
Ans: Risks may include infection, blood clots, nerve damage, or complications related to anesthesia.
 

5. Can acetabular fractures heal without surgery?
Ans: Yes, stable or non-displaced fractures can heal with conservative treatment, including rest and physical therapy.
 

6. How painful is an acetabular fracture?
Ans: An acetabulum fracture causes severe hip pain. The pain is sometimes worsened with movement. If you've damaged any nerves, you may feel numbness or a tingling sensation down your leg. You may also feel weakness in your leg.
 

7. Can you walk normally after a hip fracture surgery?
Ans: Depending on your recovery, you may be able to walk on your own in 4 to 6 weeks. Until then, you will need crutches or a walker.