Acetabular Fracture Fixation in Paget's Disease

Acetabular injuries are uncommon, with a reported yearly incidence of three cases per 100,000 people. Paget's disease of the bones is a frequent condition marked by accelerated yet disordered bone remodeling. Some people have no symptoms, but others have bone discomfort or other consequences, including fractures and deformities.

We are presenting the case of a 38-year-old man with Paget's disease who had a right roof, anterior wall, and posterior wall fracture of the acetabulum with an inferior pubic rami fracture, which was treated surgically with a plate and screw followed by physiotherapy and resulted in a favorable clinical outcome.

Paget's disease may be asymptomatic initially but may present with pathological fractures. Acetabular fractures in these patients have a good clinical outcome if they are repaired, but increased bone remodeling can lead to arthritic changes.