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Shin JK, An SJ, Go TS, et al. Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures. Hip Pelvis. 2015;27(2):104-9doi: 10.5371/hp.2015.27.2.104.
Shin, J. K., An, S. J., Go, T. S., & Lee, J. S. (2015). Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures. Hip & pelvis, 27(2), 104-9. https://doi.org/10.5371/hp.2015.27.2.104
Shin, Jong Ki, et al. "Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures." Hip & pelvis vol. 27,2 (2015): 104-9. doi: https://doi.org/10.5371/hp.2015.27.2.104
Shin JK, An SJ, Go TS, Lee JS. Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures. Hip Pelvis. 2015 Jun;27(2):104-9. doi: 10.5371/hp.2015.27.2.104. Epub 2015 Jun 30. PMID: 27536611; PMCID: PMC4972624.
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Hip Pelvis. 2015 Jun;27(2):104-9. doi: 10.5371/hp.2015.27.2.104. Epub 2015 Jun 30.

Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures.

Hip & pelvis

Jong Ki Shin, Sung Jin An, Tae Sik Go, Jung Sub Lee

Affiliations

  1. Department of Orthopaedic Surgery, Pusan National University Hospital, Busan, Korea.

PMID: 27536611 PMCID: PMC4972624 DOI: 10.5371/hp.2015.27.2.104

Abstract

PURPOSE: The aim of this study was to analyze the factors affecting the outcomes after surgical treatment of acetabular fractures.

MATERIALS AND METHODS: 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.

Keywords: Acetabular fracture; Predictive factor; Quality of reduction

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