Journal article
Patients undergoing surgical hip dislocation for the treatment of acetabular fractures show favourable long-term outcome.
- Haefeli PC University of Bern, Freiburgstrasse 16, 3010 Bern, Switzerland.
- Marecek GS University of Southern California, Keck School of Medicine, 1975 Zonal Ave., Los Angeles, CA 90033, USA.
- Keel MJ University of Bern, Freiburgstrasse 16, 3010 Bern, Switzerland.
- Siebenrock KA University of Bern, Freiburgstrasse 16, 3010 Bern, Switzerland.
- Tannast M University of Bern, Freiburgstrasse 16, 3010 Bern, Switzerland.
- 2017-04-08
Published in:
- The bone & joint journal. - 2017
Acetabulum
Hip
Surgical hip dislocation
Trauma
Acetabulum
Adolescent
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip
Female
Follow-Up Studies
Fracture Fixation, Internal
Fractures, Bone
Hip Joint
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Osteoarthritis, Hip
Prognosis
Retrospective Studies
Treatment Outcome
Young Adult
English
AIMS
The aims of this study were to determine the cumulative ten-year survivorship of hips treated for acetabular fractures using surgical hip dislocation and to identify factors predictive of an unfavourable outcome.
PATIENTS AND METHODS
We followed up 60 consecutive patients (61 hips; mean age 36.3 years, standard deviation (sd) 15) who underwent open reduction and internal fixation for a displaced fracture of the acetabulum (24 posterior wall, 18 transverse and posterior wall, ten transverse, and nine others) with a mean follow-up of 12.4 years (sd 3).
RESULTS
Clinical grading was assessed using the modified Merle d'Aubigné score. Radiographic osteoarthritis was graded according to Matta. Kaplan-Meier survivorship and a univariate Cox-regression analysis were carried out using the following endpoints: total hip arthroplasty, a Merle d'Aubigné score of < 15 and/or progression of osteoarthritis.
CONCLUSION
The ten-year cumulative survivorship was 82% (95% confidence interval 71 to 92). Predictors for the defined endpoints were femoral chondral lesions, marginal impaction, duration of surgery, and age of patient. Cite this article: Bone Joint J 2017;99-B:508-15.
The aims of this study were to determine the cumulative ten-year survivorship of hips treated for acetabular fractures using surgical hip dislocation and to identify factors predictive of an unfavourable outcome.
PATIENTS AND METHODS
We followed up 60 consecutive patients (61 hips; mean age 36.3 years, standard deviation (sd) 15) who underwent open reduction and internal fixation for a displaced fracture of the acetabulum (24 posterior wall, 18 transverse and posterior wall, ten transverse, and nine others) with a mean follow-up of 12.4 years (sd 3).
RESULTS
Clinical grading was assessed using the modified Merle d'Aubigné score. Radiographic osteoarthritis was graded according to Matta. Kaplan-Meier survivorship and a univariate Cox-regression analysis were carried out using the following endpoints: total hip arthroplasty, a Merle d'Aubigné score of < 15 and/or progression of osteoarthritis.
CONCLUSION
The ten-year cumulative survivorship was 82% (95% confidence interval 71 to 92). Predictors for the defined endpoints were femoral chondral lesions, marginal impaction, duration of surgery, and age of patient. Cite this article: Bone Joint J 2017;99-B:508-15.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1302/0301-620X.99B4.37681
- PMID 28385941
- Persistent URL
- https://sonar.ch/global/documents/140303
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