{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:27:50Z","timestamp":1759336070828,"version":"build-2065373602"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Managing pelvic ring and acetabular fractures at a late stage of malunion or nonunion is a therapeutic challenge due to the complexity of both the surgical technique and strategy. We report the case of a 42-year-old male patient with pelvic and left hip trauma diagnosed 40\u00a0days postinjury, after a prolonged intensive care stay for severe chest trauma. Imaging revealed a Tile-AO B1-2 pelvic fracture with associated transverse\u2013posterior wall acetabular fracture and femoral head dislocation. A two-stage surgery using multiple approaches was performed to remove callus and achieve reduction and fixation. The initial outcome was favorable. At 10\u00a0months, the patient developed left hip osteoarthritis and underwent primary total hip arthroplasty. At 36-month follow-up, he had a Harris Hip Score of 85, a Majeed score of 86, and had resumed near-normal daily activities. These complex cases require careful planning, with early surgical reduction being essential in displaced recent fractures.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf760","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T12:22:15Z","timestamp":1759321335000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of concomitant and delayed complex pelvic and acetabular fractures"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9809-0715","authenticated-orcid":false,"given":"Mohamed Amine","family":"Selmene","sequence":"first","affiliation":[{"name":"Orthopaedic Department , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Trauma and Burn Center , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Faculty of Medicine of Tunis, University Tunis El Manar , Djebel Lakhdhar Street, Beb Saadoun, 1006 Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mourad","family":"Zaraa","sequence":"additional","affiliation":[{"name":"Orthopaedic Department , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Trauma and Burn Center , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Faculty of Medicine of Tunis, University Tunis El Manar , Djebel Lakhdhar Street, Beb Saadoun, 1006 Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hedi","family":"Annabi","sequence":"additional","affiliation":[{"name":"Orthopaedic Department , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Trauma and Burn Center , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Faculty of Medicine of Tunis, University Tunis El Manar , Djebel Lakhdhar Street, Beb Saadoun, 1006 Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabri","family":"Mahjoub","sequence":"additional","affiliation":[{"name":"Orthopaedic Department , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Trauma and Burn Center , , May 1st Street, 2013 Ben Arous ,","place":["Tunisia"]},{"name":"Faculty of Medicine of Tunis, University Tunis El Manar , Djebel Lakhdhar Street, Beb Saadoun, 1006 Tunis ,","place":["Tunisia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"2025100108221467800_ref1","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1186\/s13018-023-03897-0","article-title":"Combined pelvic and acetabular injuries: clinical features and treatment strategies of a unique injury pattern","volume":"18","author":"Li","year":"2023","journal-title":"J Orthop Surg Res"},{"key":"2025100108221467800_ref2","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1016\/S0030-5898(20)31517-0","article-title":"Diagnosis and treatment of nonunions and malunions of acetabular fractures","volume":"21","author":"Letournel","year":"1990","journal-title":"Orthop Clin North Am"},{"key":"2025100108221467800_ref3","doi-asserted-by":"publisher","first-page":"1098","DOI":"10.3390\/medicina58081098","article-title":"Pelvic malunion: a systematic review, dichotomy of definitions and treatment","volume":"58","author":"Stine","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"2025100108221467800_ref4","doi-asserted-by":"publisher","first-page":"4587","DOI":"10.1007\/s00402-024-05557-2","article-title":"Comparison of the AO\/OTA 1996\/2007 and 2018 pelvic ring fracture classifications","volume":"144","author":"Lindahl","year":"2024","journal-title":"Arch Orthop Trauma Surg"},{"key":"2025100108221467800_ref5","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1302\/0301-620X.89B5.18129","article-title":"Crescent fracture-dislocation of the sacroiliac joint: a functional classification","volume":"89-B","author":"Day","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"2025100108221467800_ref6","doi-asserted-by":"publisher","first-page":"737","DOI":"10.2106\/00004623-196951040-00012","article-title":"Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation","volume":"51","author":"Harris","year":"1969","journal-title":"J Bone Joint Surg Am"},{"key":"2025100108221467800_ref7","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1302\/0301-620X.71B2.2925751","article-title":"Grading the outcome of pelvic fractures","volume":"71-B","author":"Majeed","year":"1989","journal-title":"J Bone Joint Surg Br"},{"key":"2025100108221467800_ref8","doi-asserted-by":"publisher","first-page":"1777","DOI":"10.1007\/s00264-017-3549-4","article-title":"Late reconstruction of severe open-book deformities of the pelvis \u2013 tips and tricks","volume":"41","author":"Fang","year":"2017","journal-title":"Int Orthop"},{"key":"2025100108221467800_ref9","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1186\/s13018-022-03296-x","article-title":"Sacral osteotomy combined with triangular osteosynthesis in the treatment of malunion and nonunion of vertically displaced pelvic fractures","volume":"17","author":"Luo","year":"2022","journal-title":"J Orthop Surg Res"},{"key":"2025100108221467800_ref10","doi-asserted-by":"publisher","first-page":"e334","DOI":"10.1097\/OI9.0000000000000334","article-title":"Late surgical correction after complex unstable pelvic fracture 61 C3 (OTA\/AO) of an 18-year-old woman","volume":"7","author":"Rikhter","year":"2024","journal-title":"OTA Int"},{"key":"2025100108221467800_ref11","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1007\/s00068-014-0461-0","article-title":"Nonunions and malunions of the pelvis","volume":"41","author":"Tripathy","year":"2015","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2025100108221467800_ref12","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s00402-004-0731-0","article-title":"Acetabular reduction osteotomy using surgical dislocation of the hip joint for treatment of a malunited acetabular fracture","volume":"124","author":"Haverkamp","year":"2004","journal-title":"Arch Orthop Trauma Surg"},{"key":"2025100108221467800_ref13","doi-asserted-by":"publisher","first-page":"e61778","DOI":"10.7759\/cureus.61778","article-title":"A neglected fracture of acetabulum treated with total hip replacement","volume":"16","author":"Patil","year":"2024","journal-title":"Cureus"},{"key":"2025100108221467800_ref14","doi-asserted-by":"publisher","first-page":"S3","DOI":"10.1016\/j.jcot.2017.06.001","article-title":"Neglected acetabular fracture: fix or replace?","volume":"8","author":"Dilogo","year":"2017","journal-title":"J Clin Orthop Trauma"},{"key":"2025100108221467800_ref15","doi-asserted-by":"publisher","first-page":"191","DOI":"10.12669\/pjms.291.2900","article-title":"The management of acetabular malunion with traumatic arthritis by total hip arthroplasty","volume":"29","author":"Pang","year":"2013","journal-title":"Pak J Med Sci"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf760\/64460767\/rjaf760.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf760\/64460767\/rjaf760.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T12:22:16Z","timestamp":1759321336000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf760\/8269892"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf760","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,9,30]]},"article-number":"rjaf760"}}