Predictor variables in acetabular fractures surgically treated

Luengo-Alonso, Gonzalo; Ibarguen, Ainhoa Nekane Toro; Peinado, Miguel Aroca; Baltasar, Jose Luis Leon; Doussoux, Pedro Caba

doi:10.1016/j.injury.2021.02.044

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…Regarding joint congruency, there was no significant disparity observed in the timing of surgery (<2 days, 2-4 days, >4 days). However, patients who underwent surgery more than 48 h after the trauma tended to have more steps and gaps, as indicated by various studies [13,44]. This is understandable, assuming high-energy trauma resulting in substantial fracture dislocation accompanied by severe injuries.…”

Section: Discussionmentioning

confidence: 97%

“…However, these findings were not statistically significant. Furthermore, the most important prognostic factor after acetabular fracture is the restoration of joint congruence with as few steps and gaps as possible [43,44], and acetabular revision surgery due to post-traumatic osteoarthritis might be challenging due to severe bone loss [45]. Regarding joint congruency, there was no significant disparity observed in the timing of surgery (<2 days, 2-4 days, >4 days).…”

Section: Discussionmentioning

confidence: 97%

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Early Stabilization Does Not Increase Complication Rates in Acetabular Fractures of the Elderly: A Retrospective Analysis from the German Pelvis Registry

Regenbogen,

Leister,

Trulson

et al. 2023

JCM

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Background: The incidence of acetabular fractures in geriatric patients has increased. Although there are strong data supporting the early operative treatment of hip fractures in geriatric patients, the optimal timing for acetabular fractures remains unclear and for several reasons, delayed treatment after trauma is common. Methods: A retrospective analysis of the German Pelvis Registry between 2008 and 2017 was performed. Ultimately, 665 patients with fractures of the anterior column or anterior column and posterior hemitransverse were enrolled. Patients above and below 65 years of age with these fracture types were analyzed regarding surgery day (within 48 hours, between 2 and 4 days, after 4 days), complication rate, reduction quality, and hospital stay. Results: The complication rate of the geriatric group was twice as high as that of younger patients; however, this finding was independent of the timing of surgery. Reduction quality and hospital stay were independent of surgical timing. Conclusions: In contrast to other fracture types, such as proximal femur fractures, the timing of surgery for acetabular fractures does not have a significant impact on the patient’s outcome. The optimal time for surgery cannot be determined using the current data. However, as expected, there is a significantly higher risk for postoperative complications in the geriatric population.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Early Stabilization Does Not Increase Complication Rates in Acetabular Fractures of the Elderly: A Retrospective Analysis from the German Pelvis Registry

Regenbogen,

Leister,

Trulson

et al. 2023

JCM

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“…Either way, immediately fixing the free fragment may prevent osteochondral deterioration and thus early need for arthroplasty. Even if this statement has not been proven by original studies regarding acute patella dislocation of the knee and sprains of the talus, the aforementioned assertion is accurate when taking into account that this particular form of injury to the acetabulum poses a risk factor for hip arthroplasty [ 22 ]. However, when the fragment does not involve a bearing surface, the excision has been reported to be a safe procedure as well [ 23 ] even if the degenerative consequences cannot be avoided [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Pediatric osteochondral fractures: clinical insights associate early diagnosis to early rehabilitation via arthroscopy

Pechlivanidou,

Zambakides,

Margariti

2024

Eur J Orthop Surg Traumatol

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Purpose This retrospective observational cohort analysis aims to address diagnostic and therapeutic challenges in managing osteochondral fractures (OCFs) resulting from acute patella dislocation and ankle sprains in children. Methods The study includes 15 children treated for OCFs between January 2020 and July 2022. Data were obtained from medical records and analyzed using logistic regression. Results The diagnostic and treatment algorithm involves detailed history, clinical examination, and imaging, with MRI guiding therapeutic decisions. Arthroscopic or mini open fixation led to successful rehabilitation, with 93% achieving full mobility at 9 months. Age was identified as a slight risk factor for free fragments in MRI, and arthroscopic management correlated with faster recovery at 3 months. Conclusion This study underscores the importance of immediate diagnosis and minimally invasive intervention for OCFs in children. Timely treatment, guided by a diagnostic algorithm, facilitates joint restoration and prevents degenerative consequences, ensuring a return to regular activities within a year postoperatively. Level of Evidence IV

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“…Встановлено, що частота АНГСК становить 5,6 % [32] та частіше виникає після задніх вивихів головки стегнової кістки. Деякі фахівці роблять наголос на тому, що критичне порушення кровообігу в головці стегнової кістки відбувається саме в момент травми та не залежить від подальшого лікування [34]. Порушення зрощення, за даними E. Letournel та R. Judet [16], виявлено лише в 0,7 % випадків.…”

Section: результати та їх обговоренняunclassified

Current trends in the treatment of acetabular fractures (literature review)

Vyrva¹,

Vatamanitsa²

2021

OTP

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Acetabular fractures are known for their disabling outcomes, so the search for optimal treatment tactics is an actual problem for modern orthopedics and traumatology. Materials and methods. Randomized trials that reflect the results of acetabular fractures treatment depending on the method of treatment were analyzed. The literature was searched in the PubMed Central database. Hip joint is a complex two-component articulated system. Traumatic lesion of all elements of the joint creates the conditions for the development of a wide range of complications and secondary changes that must be taken into account at preoperative treatment. Acetabular fracture is an intra-articular injury, where the visualization methods have the prominent significance. Nowadays the treatment can be conservative and surgical. Surgical treatment can be divided into two areas: osteosynthesis and arthroplasty. Anatomical reposition and stable fixation of fragments, in the most of cases, is the key to a satisfactory functional result, but the development of post-traumatic changes in the joint nullifies the results of even perfect osteosynthesis, encourages repeated surgery and, finally, hip replacement. In recent years, primary arthroplasty has been successfully used to treat acetabular fractures, reducing inpatient and rehabilitation period, compared with osteosynthesis, preventing the possible development of secondary degenerative changes in the joint. Conclusions. Acute hip replacement is an effective treatment, however, the technical aspects of reliable fixation of the acetabular component of the implant are insufficiently substantiated and highlighted in actual literature and constitute significant research interest.

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Predictor variables in acetabular fractures surgically treated

Cited by 6 publications

References 24 publications

Early Stabilization Does Not Increase Complication Rates in Acetabular Fractures of the Elderly: A Retrospective Analysis from the German Pelvis Registry

Early Stabilization Does Not Increase Complication Rates in Acetabular Fractures of the Elderly: A Retrospective Analysis from the German Pelvis Registry

Pediatric osteochondral fractures: clinical insights associate early diagnosis to early rehabilitation via arthroscopy

Current trends in the treatment of acetabular fractures (literature review)

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