Outcomes of associated both-column acetabular fractures with and without a posterior wall fracture- A retrospective observational cohort study.

Autor: Reahl GB; Boston University School of Medicine, Boston, MA, USA.; Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA., McTague MF; Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA.; Brigham and Women's Hospital, Department of Orthopedic Surgery, Boston, MA, USA., Suneja N; Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA.; Brigham and Women's Hospital, Department of Orthopedic Surgery, Boston, MA, USA., Weaver MJ; Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA.; Brigham and Women's Hospital, Department of Orthopedic Surgery, Boston, MA, USA., Smith M; Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA.; Massachusetts General Hospital, Department of Orthopedic Surgery, Boston, MA, USA., von Keudell AG; Harvard Medical School Orthopedic Trauma Initiative, Boston, MA, USA.; Brigham and Women's Hospital, Department of Orthopedic Surgery, Boston, MA, USA.; Bispebjerg Hospital, Universtiy of Copenhagen, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2023 Jan 04; Vol. 36, pp. 132-136. Date of Electronic Publication: 2023 Jan 04 (Print Publication: 2023).
DOI: 10.1016/j.jor.2023.01.001
Abstrakt: Aims & Objectives: Our study sought to determine if posterior wall (PW) involvement in associated both-column acetabular fractures (ABCAFs) is associated with different clinical outcomes, primarily rate of conversion to total hip arthroplasty (THA), in comparison to ABCAFs with no PW involvement.
Materials & Methods: This retrospective observational cohort study was performed at two academic Level 1 trauma centers. Two study groups were identified. The first study group consisted of 18 patients who sustained an ABCAF with PW involvement (+PW). The second study group consisted of 26 patients who sustained an ABCAF with no PW involvement (-PW). All patients achieved a minimum 12-months of follow-up and/or received a THA conversion procedure at a time remote to their index open reduction internal fixation (ORIF) procedure. The primary outcome of this study was subsequent conversion to THA on the injured hip. The secondary outcome was the presence of post-operative pain at ≥6 months and/or complications.
Results: No difference in rate of conversion to THA between + PW (n = 4, 22.2%) and -PW (n = 3, 11.5%) groups was demonstrated (p = 0.419). Similarly, no differences were seen between groups regarding complication rate (p = 0.814) and post-operative pain (p = 0.142).
Conclusion: Involvement of the PW does not appear to create worse clinical outcomes in comparison to no involvement in ABCAFs particularly as it relates to ipsilateral joint replacement.
Competing Interests: None.
(© 2023 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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