Retrospective Analysis of Surgical Outcomes in Pelvic and Acetabular Fractures at National Orthopaedic Hospital, Dala, Kano

Pelvic and acetabular fractures are among the most technically demanding injuries in orthopaedic trauma surgery, requiring specialised surgical expertise, advanced intraoperative imaging, and access to complex implant systems. Outcome data from West African tertiary centres are extremely limited. This retrospective analytical study evaluates the surgical outcomes of operatively managed pelvic and acetabular fractures at the National Orthopaedic Hospital, Dala, Kano, North West Nigeria, over a seven-year period. Case records of all patients who underwent surgical fixation will be reviewed for fracture classification (Tile for pelvis, Judet-Letournel for acetabulum), injury mechanism, surgical approach, intra-operative and post-operative complications, reduction quality, and functional outcome at one year using the Merle d'Aubigne and Postel hip score. Statistical modelling will be used to identify predictors of poor outcome. The study hypothesises that associated column acetabular fractures and delayed fixation beyond five days are associated with significantly worse functional outcomes. Findings will be reported to the trauma faculty at the National Orthopaedic Hospital Kano and submitted for publication. This study contributes the largest single-centre pelvic surgery outcome series from North West Nigeria and supports the case for expanded complex trauma capacity development. Keywords: pelvic fractures, acetabular fractures, surgical outcomes, Judet-Letournel, Kano.