Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures / 대한고관절학회지
Hip & Pelvis
;
: 104-109, 2015.
Article
in English
| WPRIM
| ID: wpr-82432
ABSTRACT
PURPOSE:
The aim of this study was to analyze the factors affecting the outcomes after surgical treatment of acetabular fractures. MATERIALS ANDMETHODS:
Between January 2000 and December 2012, 106 patients with acetabular fractures were treated with open reduction and internal fixation. We performed a retrospective cohort study to analyze the factors which may influence a patient's prognosis after surgical treatment of an acetabular fracture. The factors examined included age, femoral head injury, fracture type, dislocation, initial displacement, delay to injury-related surgery (in days), and quality of reduction. Additionally, we investigated clinical and radiological outcomes, as well as the development of osteoarthritis.RESULTS:
Patients included 85 males (80.2%) and 21 females (18.8%) with a mean age of 50.4 (17-78) years. The mean follow-up period was 2.6 (1-10) years. In a univariable regression analysis, quality of reduction, age, and initial displacement were significantly associated with radiological and clinical outcomes. In a multivariable regression analysis, quality of reduction (P<0.001) and initial displacement (P=0.001) were found to be factors predictive of clinical and radiological outcomes. Additionally, the quality of reduction (P=0.005) was found to be predictive of osteoarthritis development.CONCLUSION:
Study results indicated that the quality of reduction was the most important factor influencing the prognosis of patients with acetabular fractures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteoarthritis
/
Prognosis
/
Retrospective Studies
/
Cohort Studies
/
Follow-Up Studies
/
Joint Dislocations
/
Craniocerebral Trauma
/
Acetabulum
/
Methods
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Hip & Pelvis
Year:
2015
Type:
Article
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