Management of acetabular fractures in the geriatric patient

Hanschen, Marc; Pesch, Sebastian; Huber‐Wagner, Stefan; Biberthaler, Peter

doi:10.1051/sicotj/2017026

Cited by 30 publications

(37 citation statements)

References 39 publications

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“…A literature search revealed few publications on both highand low-energy geriatric acetabular fracture outcomes. 4,8,[20][21][22] Two of these studies found high-energy fracture patterns to follow similar fracture patterns as the low-energy group, resulting in a majority anterior wall or both column fractures. 8,21 Also, prior studies demonstrate that posterior wall fracture patterns are found to be associated with poorer outcomes.…”

Section: Discussionmentioning

confidence: 98%

High- Versus Low-Energy Acetabular Fracture Outcomes in the Geriatric Population

Cecil

Rodríguez

et al. 2020

Geriatr Orthop Surg Rehabil

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Introduction: High-energy mechanisms of acetabular fracture in the geriatric population are becoming increasingly common as older adults remain active later in life. This study compared outcomes for high- versus low-energy acetabular fractures in older adults. Materials and Methods: We studied outcomes of 22 older adults with acetabular fracture who were treated at a level-I trauma center over a 4-year period. Fourteen patients were categorized as low-energy mechanism of injury, and 8 were identified as a high-energy mechanism. We analyzed patient demographics with univariate logistic regressions performed to assess differences in high- and low-energy group as well as patient characteristics compared with surgical outcomes. Results: Most high-energy mechanisms were caused by motor vehicle collision (n = 4, 50.0%), with most having posterior wall fractures (50.0%). Among patient characteristics, the mechanism of injury, hip dislocation, fracture types, and fracture gap had the largest differences between energy groups effect size (ES: 2.45, 1.43, 1.36, and 0.83, respectively). The high-energy group was more likely to require surgery (odds ratio [OR] = 2.80, 95% CI: 0.26-30.70), develop heterotopic bone (OR = 4.33, 95% CI: 0.33-57.65), develop arthritis (OR = 3.60, 95% CI: 0.45-28.56), and had longer time to surgery (mean = 4.8 days, standard deviation [SD] = 5.8 days) compared to low-energy group (mean = 2.5 days, SD = 2.3 days). Discussion: The results of this case series confirm previous findings that patients with high-energy acetabular fractures are predominantly male, younger, and have fewer comorbidities than those who sustained low-energy fractures. Our results demonstrate that the majority of the high-energy fracture patients also suffered a concurrent hip dislocation with posterior wall fracture and experienced a longer time to surgery than the low-energy group. Conclusion: Geriatric patients who sustained high-energy acetabular fractures tend to have higher overall rates of complications, including infection, traumatic arthritis, and heterotopic bone formation when compared with patients with a low-energy fracture mechanism.

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Section: Discussionmentioning

confidence: 98%

High- Versus Low-Energy Acetabular Fracture Outcomes in the Geriatric Population

Cecil

Rodríguez

et al. 2020

Geriatr Orthop Surg Rehabil

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“…Conservative treatment is the most suitable option in case of a non-displaced acetabular fracture. Non-surgical treatment can also be considered in dislocated acetabular fractures with anterior column involvement or in intrinsically stable injuries such as transverse type fractures [22][23][24][25]. Complications of conservative treatment or minimally invasive procedures (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…traction or external fixation) include amyotrophy, pressure ulcers, deep venous thrombosis, pin tract infection and increased mortality. Most importantly, the likelihood of attaining an acceptable acetabular reduction by traction alone is small [1,7,10,19,20,22,23,[25][26][27].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Pain Caused by Bilateral Acetabular Fractures Secondary to an Epileptic Seizure Case Report and Review of the Literature

Geerts¹,

Verlaan²,

Arts

et al. 2017

OPROJ

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Background: Epileptic patients have increased risk of fractures. This is related to the traumatic event itself and to concomitant factors. Clear fracture related complaints are not always present at primary survey of these patients. This indicates a thorough primary evaluation of the complete individual post-seizure. We present a unique case of abdominal pain due to bilateral fractures fracture after an epileptic seizure.

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“…The most common cause of injury in acetabular fractures is road traffic accidents and fall from a height [1,2]. Usually acetabular fractures are associated with other major visceral injuries.…”

Section: Clinical Featuresmentioning

confidence: 99%

Clinical and Radiological Assessment of Acetabular Fracture

Zacharia¹,

Subramaniyam²,

MuhammedAyyub³

2018

Trauma Surgery

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Acetabular fractures are one of the rare injuries. They are usually occurring following a high energy trauma. The type of acetabular fractures is mainly depend on the position of the femoral head at the time of injury. The acetabular fracture are usually associated with visceral and neurovascular injuries. There can be anterior, posterior or central fracture dislocation associated with this injury. A closed degloving injury of the subcutaneous tissue which is detached from the underlying fascia-Morel-Lavelle lesion is also common feature. The sciatic nerve injury can be associated with posterior wall or column injuries. The most commonly used investigation are anteroposterior, Judet views and 2D/3D computerized tomography. Most commonly used classification is modified Judet and Letournel classification. They divided acetabular fractures into five simple fracture patterns and five associated fracture pattern. The Orthopedic trauma association modified Letournel classification and gave computerized coding. In this chapter, we are describing the clinical features and classification of acetabular fracture in a simple and vivid manner.

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Management of acetabular fractures in the geriatric patient

Cited by 30 publications

References 39 publications

High- Versus Low-Energy Acetabular Fracture Outcomes in the Geriatric Population

High- Versus Low-Energy Acetabular Fracture Outcomes in the Geriatric Population

Abdominal Pain Caused by Bilateral Acetabular Fractures Secondary to an Epileptic Seizure Case Report and Review of the Literature

Clinical and Radiological Assessment of Acetabular Fracture

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