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. 2022 Jan 24;19(3):1277.
doi: 10.3390/ijerph19031277.

Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures

Emilia Dadura  1 , Aleksandra Truszczyńska-Baszak  1 , Dariusz Szydłowski  2
Affiliations

Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures

Emilia Dadura et al. Int J Environ Res Public Health. .

Abstract

(1) Fracture of the pelvis usually happens in young men and results from high-energy trauma. It generates high social and economic costs and results in further health problems. It is therefore important to assess long-term treatment results. (2) The study (NCT04902209) involved 31 patients (mean age 43.6 ± 14.8 years). We conducted fixation assessment on the basis of radiographs and CT scans and functional assessment based on functional scales. (3) We observed more degenerative changes in the less precise reconstruction of the acetabulum (p = 0.075). We did not find statistically significant relationships between the area of surgical approach, the gravity of fracture, and the development of degenerative changes. We did not find statistically significant relationships between patients' functional states and the type of surgical approach or the complexity of the fracture. We found a positive correlation between the time of surgical treatment and patients' functional state (p = 0.04). Patients whose joint surfaces were reconstructed anatomically had significantly higher scores in functional scales (HHS p = 0.05, Merle p = 0.03). (4) Patients after surgical fixation of the acetabulum have low functional abilities. The quality of reconstruction of the loaded surface as well as the length of time post-surgery seems to be essential for the patients' functional state.

Keywords: HHS; Merle d’Aubigne Scale; ORIF; acetabulum fractures; functional assessment; pelvic.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Degenerative changes progression (the arrow—the fracture fissure): (a) acetabular fracture (March 2012); (b) degenerative changes (April 2015); (c) hip arthroplasty (June 2015).
Figure 2
Figure 2
Hip range of motion according to HHS.
See this image and copyright information in PMC

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References

    1. Rommens P.M. Is there a role for percutaneous pelvic and acetabular reconstruction? Inj. Int. J. Care Inj. 2007;38:463–477. doi: 10.1016/j.injury.2007.01.025. - DOI - PubMed
    1. Caban A., Zawadzki A., Sokólski B., Marczyński W. Ocena wyników leczenia operacyjnego złamań panewki stawu biodrowego. Chir. Narządów Ruchu. 2011;76:336–344. - PubMed
    1. Firoozabadi R., Spitler C., Schlepp C., Hamilton B., Agel J., Routt M.C., Tornetta P. Determining stability in posterior wall acetabular fractures. J. Orthop. Trauma. 2015;29:465–469. doi: 10.1097/BOT.0000000000000354. - DOI - PubMed
    1. Gänsslen A., Steinke B., Krettek C. Osteosynthese von Frakturen der hinteren Wand des Azetabulums. Oper. Orthop. Traumatol. 2009;21:283–295. doi: 10.1007/s00064-009-1805-5. - DOI - PubMed
    1. Giannoudis P.V., Tzioupis C., Papathanassopoulos A., Obakponovwe O., Roberts C. Articular step-off and risk of post-traumatic osteoarthritis. Evidence today. Inj. Int. J. Care Inj. 2010;41:986–995. doi: 10.1016/j.injury.2010.08.003. - DOI - PubMed

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