Back to Search
Start Over
Treatment and Complications of Patients With Ipsilateral Acetabular and Femur Fractures: A Multicenter Retrospective Analysis
- Source :
- Journal of Orthopaedic Trauma. 31:650-656
- Publication Year :
- 2017
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2017.
-
Abstract
- OBJECTIVES The purpose of this study was to review the treatment of patients with ipsilateral acetabular and femur fractures to provide descriptive demographic data, injury pattern classification, treatment, and evaluate the complication profile reflective of current practices. STUDY DESIGN Multicenter retrospective cohort. SETTING Eight Level 1 Trauma Centers. PATIENTS/PARTICIPANTS One hundred one patients met inclusion criteria. INTERVENTION Surgical treatment of both the acetabular and femur fractures. MAIN OUTCOME MEASUREMENTS The complications evaluated include avascular necrosis, heterotopic ossification, posttraumatic arthritis, deep venous thrombosis, pulmonary embolism and superficial/deep infection, fracture union, and secondary surgeries. RESULTS Forty-three patients had 31 type fractures (29A; 11B, and 3C), 60 had 32 type (37A, 8B; 15C), and 8 had 33 type (1A, 4B, 3C) femur fractures; 10 patients had combinations involving more than 1 femur fracture pattern. There were 35 62A type fractures, 47 62B, and 19 62C acetabular fractures. Age of 45 or older was associated with marginal impaction (P = 0.001). The aggregate infection rate was 17%. More than 30% of patients required secondary surgeries. The rate of avascular necrosis was higher in acetabular fractures combined with proximal femur fractures (P < 0.05). The rate of deep venous thrombosis was associated with increased age and time to surgical fixation (P < 0.05). CONCLUSIONS We report the largest review of the surgical treatment and complications of ipsilateral acetabular and femoral fractures. This study provides useful information regarding the complications and provides some treatment recommendations regarding these injuries. LEVEL OF EVIDENCE Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
- Subjects :
- Adult
Male
musculoskeletal diseases
medicine.medical_specialty
Adolescent
Avascular necrosis
Fracture Fixation, Internal
Fractures, Bone
Young Adult
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Fracture fixation
medicine
Humans
Orthopedics and Sports Medicine
Femur
Aged
Retrospective Studies
Fracture Healing
030222 orthopedics
Femur fracture
business.industry
Incidence
Acetabulum
030208 emergency & critical care medicine
Retrospective cohort study
General Medicine
Middle Aged
medicine.disease
United States
Surgery
Pulmonary embolism
Radiography
Venous thrombosis
Heterotopic ossification
business
Femoral Fractures
Follow-Up Studies
Subjects
Details
- ISSN :
- 08905339
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Trauma
- Accession number :
- edsair.doi.dedup.....d1c76c41dd2fd89fe0a2f85049667f7d