Hip & pelvis

  • 제35권2호
  • /
  • Pages.133-141
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  • 2023
  • /
  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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Hip Function after Surgically Treated Isolated Traumatic Acetabular Fracture: A Prospective Series of Consecutive Cases

  • Indy Smits (Department of Rehabilitation, Radboud University Medical Center) ;
  • Niek Koenders (Department of Rehabilitation, Radboud University Medical Center) ;
  • Vincent Stirler (Department of Surgery, Radboud University Medical Center) ;
  • Erik Hermans (Department of Surgery, Radboud University Medical Center)
  • 투고 : 2022.10.19
  • 심사 : 2023.03.20
  • 발행 : 2023.06.30
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초록

Purpose: Isolated acetabular fractures can occur as a result of a high energy impact on the hip joint. Surgery is required for most patients with an isolated acetabular fracture in order to alleviate pain, restore joint stability, and regain hip function. This study was conducted in order to examine the course of hip function in patients after surgical treatment of an isolated traumatic acetabular fracture. Materials and Methods: This prospective series of consecutive cases included patients who underwent surgery for treatment of an isolated acetabular fracture in a European level one trauma center between 2016 and 2020. Patients with relevant concomitant injuries were excluded. Scoring of hip function was performed by a trauma surgeon using the Modified Merle d'Aubigné and Postel score at six-week, 12-week, six-month, and one-year follow-up. Scores between 3-11 indicate poor, 12-14 fair, 15-17 good, and 18 excellent hip function. Results: Data on 46 patients were included. The mean score for hip function was 10 (95% confidence interval [CI] 7.09-12.91) at six-week follow-up (23 patients), 13.75 (95% CI 10.74-16.76) at 12-week follow-up (28 patients), 16 (95% CI 13.40-18.60) at six-month follow-up (25 patients), and 15.50 (95% CI 10.55-20.45) at one-year follow-up (17 patients). After one-year follow-up, the scores reflected an excellent outcome in 11 patients, good in five patients, and poor in one patient. Conclusion: This study reports on the course of hip function in patients who have undergone surgical treatment for isolated acetabular fractures. Restoration of excellent hip function takes six months.

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참고문헌

  1. de Ridder VAL. [Acetabulum- en bekkenfracturen, statistiek en praktijk in Nederland]. Ned Tijdschr Traumatol. 2010;18:122-3. Dutch.
  2. Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res. 1980;(151):81-106.
  3. Anizar-Faizi A, Hisam A, Sudhagar KP, Moganadass M, Suresh C. Outcome of surgical treatment for displaced acetabular fractures. Malays Orthop J. 2014;8:1-6. https://doi.org/10.5704/MOJ.1411.001
  4. Wang XJ, Lu Li, Zhang ZH, et al. Ilioinguinal approach versus Stoppa approach for open reduction and internal fixation in the treatment of displaced acetabular fractures: a systematic review and meta-analysis. Chin J Traumatol. 2017;20:229-34. https://doi.org/10.1016/j.cjtee.2017.01.005
  5. Kubota M, Uchida K, Kokubo Y, et al. Changes in gait pattern and hip muscle strength after open reduction and internal fixation of acetabular fracture. Arch Phys Med Rehabil. 2012;93:2015-21. https://doi.org/10.1016/j.apmr.2012.01.016
  6. Braun BJ, Wrona J, Veith NT, et al. Predictive value of clinical scoring and simplified gait analysis for acetabulum fractures. J Surg Res. 2016;206:405-10. https://doi.org/10.1016/j.jss.2016.08.061
  7. Braun BJ, Rollmann M, Veith N, Pohlemann T. Fracture healing redefined. Med Hypotheses. 2015;85:940-3. https://doi.org/10.1016/j.mehy.2015.09.006
  8. Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br. 2005;87:2-9. https://doi.org/10.1302/0301-620X.87B1.15605
  9. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Bull World Health Organ. 2007;85:867-72. https://doi.org/10.2471/BLT.07.045120
  10. Ramirez-Garcialuna JL, Dominguez-Paulin F, Ramirez-Martinez J, Sanmiguel-Delgadillo LF. Comparison and agreement of outcome scores through nine months after acetabular fracture fixation. J Clin Orthop Trauma. 2018;9:181-5. https://doi.org/10.1016/j.jcot.2017.08.018
  11. Sterne JA, White IR, Carlin JB, et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393. https://doi.org/10.1136/bmj.b2393
  12. Capone A, Peri M, Mastio M. Surgical treatment of acetabular fractures in the elderly: a systematic review of the results. EFORT Open Rev. 2017;2:97-103. https://doi.org/10.1302/2058-5241.2.160036
  13. Ruedi T, Buckley RE, Moran CG. AO principles of fracture management. Georg Thieme; 2007.
  14. Tasheva R. Physiotherapy for controlling the compensatory mechanisms after surgically treated complex acetabular fractures. Trakia J Sci. 2020;18:151-5. https://doi.org/10.15547/tjs.2020.02.010
  15. Yao S, Chen K, Ji Y, et al. Supra-ilioinguinal versus modified Stoppa approach in the treatment of acetabular fractures: reduction quality and early clinical results of a retrospective study. J Orthop Surg Res. 2019;14:364. https://doi.org/10.1186/s13018-019-1428-y
  16. Firoozabadi R, Alton T, Sagi HC. Heterotopic ossification in acetabular fracture surgery. J Am Acad Orthop Surg. 2017;25:117-https://doi.org/10.5435/JAAOS-D-15-00366
  17. Firoozabadi R, O'Mara TJ, Swenson A, Agel J, Beck JD, Routt M. Risk factors for the development of heterotopic ossification after acetabular fracture fixation. Clin Orthop Relat Res. 2014;472:3383-8. https://doi.org/10.1007/s11999-014-3719-2