Acetabular Fracture Fixation in Paget’s Disease

INTRODUCTION: 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. CASE REPORT: 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. CONCLUSION: 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.