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KMID : 1028220150270020104
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Hip & Pelvis
2015 Volume.27 No. 2 p.104 ~ p.109
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Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures
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:Shin Jong-Ki
:An Sung-Jin/:Lee Jung-Sub/:Go Tae-Sik
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Abstract
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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.
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KEYWORD
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Acetabular fracture, Quality of reduction, Predictive factor
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