Vol. 11, Issue 4 (2025)

Background: Acetabular fractures prevalence in elderly is increasing, likely as a result of the combination of a more active lifestyle and increased longevity.This work aimed to evaluate the functional and radiological outcomes as well as complications after fixation of acetabular fractures in elderly. 
Methods: This prospective multi-center observational study involved 28 elderly cases attended the Trauma and Orthopedic Departments at both the Benha University hospital and Naser Institute Hospital and presented with acute acetabular fractures confirmed radiographically and managed operatively. All patients underwent a complete physical and neurological examination, radiographic evaluation including (Anteroposterior and Judet oblique pelvic radiographs, Computed tomography (CT) scan with 3 D reconstruction for fracture classification (Letournel system)).
Results: The postoperative Merle D’Aubigné hip score ranged from 9 to 18 with a mean ±SD of 14.9 ± 2.6. Functional outcomes were 14.3% achieved excellent, 42.9% achieved good results. Fair outcomes were reported in 28.6%, while poor outcomes were noted in 14.3% of patients. 
Conclusions: Surgical fixation of acetabular fractures in elderly patients can achieve satisfactory functional and radiological results, though the procedure remains technically demanding and is corrleated with notable complications such as post-traumatic osteoarthritis and infection.