Clinical Failure After Posterior Wall Acetabular Fractures: The Influence of Initial Fracture Patterns

Saterbak, Andrea; Marsh, J. Lawrence; Nepola, James V.; Brandser, Eric A.; Turbett, Timothy

doi:10.1097/00005131-200005000-00002

Cited by 133 publications

(109 citation statements)

References 15 publications

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“…Various series have reported the incidence of traumatic sciatic nerve injury in posterior fractures to be higher as compared to other fracture types sometimes as high as 40.3% in cases with dislocation of hip. 4,6,18,19 In the present series the incidence of traumatic sciatic nerve palsy was 28.6% in isolated fractures of the posterior wall and 11.1% in cases of persistent dislocation. Sciatic nerve recovered fully in 2 cases, partially in one with recovery of common peroneal part while no recovery occurred in two cases.…”

Section: Discussionsupporting

confidence: 43%

Acetabular fractures labelled poor surgical choices: Analysis of operative outcome

Gupta

Jindal

Pruthi³

2015

Journal of Clinical Orthopaedics and Trauma

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FracturesNeglected Osteoporosis a b s t r a c t Purpose: We report the surgical outcome in 52 patients with acetabular otherwise considered as poor surgical choices.Methods: 43 male and 9 female patients were operated at a mean age of 43 years and followed up for a mean duration of 60.3 months. There were 22 elementary fractures and 31 associated ones according to Letournal and Judet classification. Osteosynthesis was attempted in 48 patients whereas a primary total hip arthroplasty was performed in 4 patients. Outcome was assessed radiologically and functionally employing Harris Hip Score (HHS).Results: Average HHS in osteosynthesis group was 82.56 ± 12.4 with excellent to good results in 59.6% of the cases. Symptomatic osteoarthritis occurred in 13.5% of cases, avascular necrosis and severe heterotopic ossification in 7.7% each, infection and nerve palsy in 11.5% each. Conclusion:Although the complication rates in this series is marginally more than that reported in literature, we recommend that the indications of surgical fixation in acetabular fractures need to be extended to those which were considered poor surgical choices.

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Section: Discussionsupporting

confidence: 43%

Acetabular fractures labelled poor surgical choices: Analysis of operative outcome

Gupta

Jindal

Pruthi³

2015

Journal of Clinical Orthopaedics and Trauma

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“…In addition to the time of relocation, the outcome has been related to the quality of reduction of the fracture, [11][12][13][14][15][16] the age of the patient, 11,13,17 damage to the femoral head, 11,13 incarcerated fracture fragments, 18 associated injuries, 1,6,7 and the type of fracture. 16 However, studies have been inconsistent in their assessment of these variables, and the majority have not addressed the effect of all variables simultaneously on the outcome.…”

mentioning

confidence: 99%

Predictors of clinical and radiological outcome in patients with fractures of the acetabulum and concomitant posterior dislocation of the hip

Bhandari

Matta

Ferguson

et al. 2006

The Journal of Bone and Joint Surgery. British volume

122

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We aimed to identify variables associated with clinical and radiological outcome following fractures of the acetabulum associated with posterior dislocation of the hip. Using a prospective database of 1076 such fractures, we identified 109 patients with this combined injury managed operatively within three weeks and followed up for two or more years. The patients had a mean age of 42 years (15 to 79), 78 (72%) were male, and 84 (77%) had been involved in motor vehicle accidents. Using multivariate analysis the quality of reduction of the fracture was identified as the only significant predictor of radiological grade, clinical function and the development of post-traumatic arthritis (p < 0.001). All patients lacking anatomical reduction developed arthritis whereas only 25.5% (24 patients) with an anatomical reduction did so (p = 0.05).The quality of the reduction of the fracture is the most important variable in forecasting the outcome for patients with this injury. The interval to reduction of the dislocation of the hip may be less important than previously described.

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“…Saterbak et al [7] in a study performed to evaluate the factors that predict clinical failure after posterior wall fractures of the acetabulum, reported a mean Musculoskeletal Function Assessment score of 47.3 for ten patients who had a failure of treatment and a mean score of 26.1 for thirty-one patients who did not have failure [8].…”

Section: Discussionmentioning

confidence: 99%

Outcome Analysis of Displaced Acetabular Fractures

Singh¹

2014

MOJOR

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Clinical Failure After Posterior Wall Acetabular Fractures: The Influence of Initial Fracture Patterns

Abstract: Poor outcomes after open reduction and internal fixation are associated with certain types of posterior wall fracture patterns.

Cited by 133 publications

References 15 publications

Acetabular fractures labelled poor surgical choices: Analysis of operative outcome

Acetabular fractures labelled poor surgical choices: Analysis of operative outcome

Predictors of clinical and radiological outcome in patients with fractures of the acetabulum and concomitant posterior dislocation of the hip

Outcome Analysis of Displaced Acetabular Fractures

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