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Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study
PURPOSE: The optimal operative treatment for displaced acetabular fractures in elderly population is still object of debate. Acute fix and replace procedure, the so called “combined hip procedure” (CHP), was introduced because of the poor results of the open reduction and internal fixation (ORIF) al...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9371631/ https://www.ncbi.nlm.nih.gov/pubmed/35953732 http://dx.doi.org/10.1007/s00264-022-05535-6 |
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author | Smakaj, Amarildo Rovere, Giuseppe Scoscina, Dalila De Mauro, Domenico Erasmo, Rocco Battiato, Concetto Maccauro, Giulio Liuzza, Francesco |
author_facet | Smakaj, Amarildo Rovere, Giuseppe Scoscina, Dalila De Mauro, Domenico Erasmo, Rocco Battiato, Concetto Maccauro, Giulio Liuzza, Francesco |
author_sort | Smakaj, Amarildo |
collection | PubMed |
description | PURPOSE: The optimal operative treatment for displaced acetabular fractures in elderly population is still object of debate. Acute fix and replace procedure, the so called “combined hip procedure” (CHP), was introduced because of the poor results of the open reduction and internal fixation (ORIF) alone. The aim of the study is to compare clinical outcomes of CHP and ORIF alone for the treatment of acetabular fractures in elderly patients. METHODS: This is the largest multicentric retrospective analytical study, with a case–control design on the issue. Hospital records and clinical notes were reviewed to collect demographic, peri-operative, and clinical data. RESULTS: A total of 45 patients met the inclusion criteria: 24 patients entered the CHP group whereas 21 entered the ORIF control group. The mean age was 69.5 + − 1.12 years in the ORIF group and 73.4 + − 1.84 in the control group. The most frequent traumatic mechanism was the fall from same level in both groups (37.5% CHP; 42.9% ORIF). Operating time was significantly lower in the CHP group compared to the ORIF group (207 + − 11.0 ORIF; 175 + − 9.16 CHP; p < 0.05). Moreover, full weight-bearing was allowed significantly earlier in the CHP group compared to ORIF alone (37.3 + − 1.59 ORIF; 32.5 + − 1.69 CHP; p < 0.05). Among the clinician-completed scores, the HHS at three months was higher in the CHP group (66.3 + − 1.83 ORIF;73.6 + − 2.09 CHP; p < 0.05). All the other clinical outcomes were similar in both study groups. CONCLUSION: CHP is desirable treatment option in elderly patients with acetabular fracture when there are poor expected outcomes in terms of joint survival with ORIF alone. |
format | Online Article Text |
id | pubmed-9371631 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-93716312022-08-12 Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study Smakaj, Amarildo Rovere, Giuseppe Scoscina, Dalila De Mauro, Domenico Erasmo, Rocco Battiato, Concetto Maccauro, Giulio Liuzza, Francesco Int Orthop Original Paper PURPOSE: The optimal operative treatment for displaced acetabular fractures in elderly population is still object of debate. Acute fix and replace procedure, the so called “combined hip procedure” (CHP), was introduced because of the poor results of the open reduction and internal fixation (ORIF) alone. The aim of the study is to compare clinical outcomes of CHP and ORIF alone for the treatment of acetabular fractures in elderly patients. METHODS: This is the largest multicentric retrospective analytical study, with a case–control design on the issue. Hospital records and clinical notes were reviewed to collect demographic, peri-operative, and clinical data. RESULTS: A total of 45 patients met the inclusion criteria: 24 patients entered the CHP group whereas 21 entered the ORIF control group. The mean age was 69.5 + − 1.12 years in the ORIF group and 73.4 + − 1.84 in the control group. The most frequent traumatic mechanism was the fall from same level in both groups (37.5% CHP; 42.9% ORIF). Operating time was significantly lower in the CHP group compared to the ORIF group (207 + − 11.0 ORIF; 175 + − 9.16 CHP; p < 0.05). Moreover, full weight-bearing was allowed significantly earlier in the CHP group compared to ORIF alone (37.3 + − 1.59 ORIF; 32.5 + − 1.69 CHP; p < 0.05). Among the clinician-completed scores, the HHS at three months was higher in the CHP group (66.3 + − 1.83 ORIF;73.6 + − 2.09 CHP; p < 0.05). All the other clinical outcomes were similar in both study groups. CONCLUSION: CHP is desirable treatment option in elderly patients with acetabular fracture when there are poor expected outcomes in terms of joint survival with ORIF alone. Springer Berlin Heidelberg 2022-08-11 2022-11 /pmc/articles/PMC9371631/ /pubmed/35953732 http://dx.doi.org/10.1007/s00264-022-05535-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Paper Smakaj, Amarildo Rovere, Giuseppe Scoscina, Dalila De Mauro, Domenico Erasmo, Rocco Battiato, Concetto Maccauro, Giulio Liuzza, Francesco Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study |
title | Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study |
title_full | Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study |
title_fullStr | Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study |
title_full_unstemmed | Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study |
title_short | Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study |
title_sort | outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9371631/ https://www.ncbi.nlm.nih.gov/pubmed/35953732 http://dx.doi.org/10.1007/s00264-022-05535-6 |
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