[Surgical treatment of acetabular fractures. Long term outcomes].

Autor: Matellanes-Palacios C; Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, España., Diranzo-García J; Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, España., Estrems-Díaz V; Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, España., Marquina-Moraleda V; Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, España., Marco-Díaz L; Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, España., Hernández-Ferrando L; Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, España.
Jazyk: Spanish; Castilian
Zdroj: Acta ortopedica mexicana [Acta Ortop Mex] 2022 Nov-Dec; Vol. 36 (6), pp. 340-345.
Abstrakt: Introduction: acetabular fractures constitute between 0.3 and 0.6% of all observed fractures, being these injuries relatively infrequent.
Objective: to evaluate clinical and radiological outcomes of surgical treatment of patients with acetabular fracture treated in our hospital with a minimal follow-up of 11.5 years. The secondary objective is to determine the rate of failure in the hip joint of these patients and establish risk factors that are involved.
Material and Methods: 23 patients with acetabular fractures that were treated by open reduction and internal fixation (ORIF) were retrospectively analysed. They were follow-up during an average of 14 years (range 11.5-17.5). Fractures were classified by Judet y Letournel as simple or complex. Clinical and radiological outcomes were analysed by Harris scale.
Results: We obtained an average of 81.90/100 on the Harris scale, aiming at better outcomes on simple fractures compare to those that were complex (p = 0.027). Higher scores were also achieved on those patients with an anatomical reduction (p = 0.033). Three patients required revision and placement of a total arthoplasty (13%). However, patients with body mass index (BMI) > 30 tend to achieve poor clinical results (p = 0.151).
Conclusions: ORIF may be suggested for acetabular fractures since good clinical and radiological outcomes were recorded on a long-term follow-up. Complex fractures, non-anatomical reduction and BMI > 30 were identified as risk factors to coxarthrosis progression.
Databáze: MEDLINE
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