The Impact of Increased Time to Surgery in Geriatric Patients With Acetabular Fractures

Aspang, Jesse Seilern und; Zamanzadeh, Ryan S; Bonsu, Janice M.; Fraser, Helyn G; Maceroli, Michael; Ibnamasud, Shadman; McKegg, Phillip C.; Boissonneault, Adam

doi:10.1097/bot.0000000000002568

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Thus, establishing recommendations is only possible with reservations. Seilern and Aspang et al examined the correlation between the timing of surgery after trauma and the occurrence of postoperative complications in geriatric patients [38]. In their study, 51 patients were retrospectively analyzed.…”

Section: Discussionmentioning

confidence: 99%

“…They found that geriatric patients who underwent an operation after more than 48 h had a 5-fold increased risk of developing postoperative major complications, such as myocardial infarction, pulmonary artery embolisms (LAEs), deep venous thrombosis, ARDS, or renal failure, as well as less serious complications, such as pneumonia, delirium, urinary tract infections, or superficial wound infections, as compared to the group that underwent an operation within 48 hours. In addition, early-operated patients had a 7-day shorter hospital stay [38]. A review from Mansour et al found that operative stabilization within 48 h improves repositioning quality and correlates with a statistically nonsignificant shorter surgery time.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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: 99%

Section: Discussionmentioning

confidence: 99%