Complications after surgical treatment of acetabular fractures: a 5-year follow-up of 229 patients.

Autor: Lundin N; Department of Trauma, Acute Surgery and Orthopaedics, Karolinska University Hospital, 171 64, Stockholm, Sweden. natalie.lundin@regionstockholm.se.; Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden. natalie.lundin@regionstockholm.se., Berg HE; Department of Trauma, Acute Surgery and Orthopaedics, Karolinska University Hospital, 171 64, Stockholm, Sweden.; Division of Orthopedics and Biotechnology, Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden., Enocson A; Department of Trauma, Acute Surgery and Orthopaedics, Karolinska University Hospital, 171 64, Stockholm, Sweden.; Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2023 May; Vol. 33 (4), pp. 1245-1253. Date of Electronic Publication: 2022 May 20.
DOI: 10.1007/s00590-022-03284-1
Abstrakt: Purpose: Acetabular fractures are injuries often surgically treated, but the surgical intervention is associated with a high risk of subsequent complications. The primary aim of this study was to explore the rate of reoperations and to identify potential risk factors for reoperation. Secondary aims were other adverse events and mortality.
Methods: Patients ≥ 18 years with a surgically treated acetabular fracture at a single trauma center in Sweden between 2010 and 2019 were retrospectively included. Data were collected through review of medical records and radiographs. Logistic regression analysis was performed to investigate factors associated with reoperations and other adverse events.
Results: A total of 229 patients with a surgically treated acetabular fracture were included, mean age (± SD, range) 60 (19, 19-94) years. The majority of the patients were males (n = 180, 79%), and the median (IQR) follow-up time was 1779 (1906) days (4.9 years). 47 patients (21%) underwent a reoperation. THA as surgical method was associated with a lower reoperation rate compared to ORIF (OR 0.3, 95% CI 0.1-0.8, p < 0.01). 72 patients (31%) sustained an adverse event not requiring reoperation, and admittance to ICU was associated with an increased risk (OR 2.6, 95% CI 1.2-5.7, p = 0.02). 30-day mortality was 3.1% and 1-year mortality 5.7%.
Conclusion: The complication rate after acetabular fracture surgery was high, and surgical treatment with primary THA was associated with a reduced risk for reoperation.
(© 2022. The Author(s).)
Databáze: MEDLINE
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