Functional Outcome of Acetabular Fracture Using Majeed Score: A Single-center Retrospective Study

Abstract

Introduction: Acetabular fractures make a challenge for orthopedic trauma surgeons. The published data on acetabular fracture in Indonesia are very limited and there is no study to assess the functional outcome of acetabular fracture using the Majeed score. This study aims to report the functional outcome of an acetabular fracture using the Majeed score in one tertiary referral hospital (single center), Dr. Moewardi General Hospital. Methods: This is a retrospective descriptive study with a cross-sectional design from patients who registered on January 1, 2017–December 31, 2021 (5 years) at Dr. Moewardi General Hospital, a referral Hospital in Surakarta, Indonesia. The inclusion criteria included all acetabular fracture patients who registered and had complete data. Results: The most common type of acetabular fracture based on Judet-Letournel classification in this study is both columns (59.1%), most commonly treated by surgery. The most common surgical approach to treating an acetabular fracture is the anterior approach. The Majeed score shows the total of good and excellent outcomes after surgery (57.2%) is higher than fair and poor outcomes (42.9%), and the total of good and excellent outcomes after nonsurgical treatment (66.7%) is higher than fair and poor outcomes (33.3%). Conclusion: Using the Majeed score in a single center, the functional outcomes of acetabular fracture patients treated both surgically and conservatively are good to excellent.

Keywords

• acetabular fracture
• classification
• epidemiology
• functional outcome
• majeed score