Predictors of postoperative outcome for acetabular fractures

Meena, Umesh Kumar; Trıpathy, Sujit Kumar; Sen, Ramesh Kumar; Aggarwal, Sameer; Behera, Prateek

doi:10.1016/j.otsr.2013.09.004

Cited by 110 publications

(78 citation statements)

References 18 publications

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“…In our series, we showed a conversion rate of 6% after 10 years of FU. For operatively treated fractures the rate of secondary THA is higher, with reported rates between 8 % and 53% 41,42,57,73,119,136,154 . Our cohort of operatively treated fractures had a conversion rate to THA of 14% after an average FU of 11 years.…”

Section: Secondary Total Hip Replacementmentioning

confidence: 99%

Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?

Clarke-Jenssen

Øvre

Røise

et al. 2015

Arch Orthop Trauma Surg

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Section: Secondary Total Hip Replacementmentioning

confidence: 99%

Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?

Clarke-Jenssen

Øvre

Røise

et al. 2015

Arch Orthop Trauma Surg

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“…Clinical outcome has been reported to decrease with increasing patient age [8, 9], while other researchers could not confirm these findings [10–12]. Fracture pattern is often [8, 13, 14] but not necessarily [11] considered as a significant predictor of radiographic and functional results. However, gender is not supposed to influence the outcome after acetabular surgery [11, 12, 15], whereas early ORIF can be assumed to result in a higher likelihood of excellent or good radiographic results [8, 13, 16].…”

Section: Introductionmentioning

confidence: 99%

Results of 167 consecutive cases of acetabular fractures using the Kocher-Langenbeck approach: a case series

Negrin

Seligson

2017

J Orthop Surg Res

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BackgroundAcetabular fractures are quite challenging injuries for the orthopedic surgeon because of their low incidence and their deep and complex anatomy. The objective of this study was to evaluate surgeon-independent parameters that might influence radiographic outcome and early complication rates of high-energy acetabular fractures treated by open reduction and internal fixation via the Kocher-Langenbeck approach, the golden standard for posterior access.MethodsOne hundred sixty-seven consecutive patients (111 males and 56 females) with a mean age of 41.8 years and a mean follow-up period of 10 months were surgically treated by one experienced surgeon at a level I trauma center within 10 years. To quantify the radiographic outcome, the Matta, Brooker, and Epstein grades were used. Posttraumatic arthritis and avascular necrosis of the femoral head (defined as Helfet grades 3 or 4 and Ficat/Arlet stages 3 or 4, respectively) were evaluated. Furthermore, subgroup analyses according to fracture type, age, and gender were performed for each outcome measure and complication (infection, hemorrhagic shock, revision surgery, nerve damage, and need of a total hip arthroplasty).Results65 A1, 34 A2, 51 B1, and 17 B2 fractures were identified according to the AO/ASIF classification. Of all patients, reduction was rated anatomic in 63.5%, imperfect in 22.2%, and poor in 14.4%. Degenerative changes were observed in 49.7%; 37.9% were affected by heterotopic ossification, 21.6% by posttraumatic arthritis, and 5.4% by avascular necrosis of the femoral head. Fifteen percent were diagnosed with a nerve damage, and 4.8% sustained an infection. Total hip arthroplasty was performed in 10.2%. Revision surgery due to secondary loss of reduction, seroma/hematoma, and wound infection was indicated in 6.0%.ConclusionsFracture type, age, and gender are prognostic factors for the surgical outcome after ORIF of high-energy acetabular fractures.Electronic supplementary materialThe online version of this article (doi:10.1186/s13018-017-0563-6) contains supplementary material, which is available to authorized users.

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“…Good results are, however, closely associated with the fracture reduction, and a residual step-off over 2-3 mm will lead to significantly reduced hip joint survival and clinical results. It is suggested that approximately 11-19% of the acetabular fracture patients will develop symptomatic arthritis [8,[23][24][25] and 6% -11% will eventually receive a total hip arthroplasty (THA) [8,[23][24][25]. The reported results of delayed THA after operatively treated acetabular fractures vary widely as do the type of arthroplasties performed.…”

Section: Introductionmentioning

confidence: 99%

Reduced survival for uncemented compared to cemented total hip arthroplasty after operatively treated acetabular fractures

Clarke-Jenssen

Westberg

Røise

et al. 2017

Injury

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Predictors of postoperative outcome for acetabular fractures

Abstract: Poor reduction, associated injuries, fracture displacement of >20mm, joint dislocation and late surgery definitely carry poor prognosis in predicting the outcome of surgically treated acetabular fractures.

Cited by 110 publications

References 18 publications

Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?

Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?

Results of 167 consecutive cases of acetabular fractures using the Kocher-Langenbeck approach: a case series

Reduced survival for uncemented compared to cemented total hip arthroplasty after operatively treated acetabular fractures

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