On the diagnosis and treatment of acetabular fractures
Appears in the following Collection
AbstractAcetabular fractures are rare injuries with and annual incidence of around 3 per 100 000 persons. Approximately half of these injuries are treated operatively, posing a great challenge to the treating orthopedic surgeon. The radiological work up for patients with a suspected acetabular fracture should include a standard AP radiograph and a CT-scan with reconstructions. If in doubt oblique radiographs can be helpful, since an intraarticular step-off > 2mm is a strong predictor for a negative clinical outcome. Good long-term results can be expected for minimally displaced non-operatively treated acetabular fractures. Loss of joint congruency with an intraarticular step-off > 2mm leads to an inferior outcome. Hip joint survival and clinical outcome for operatively treated patients are generally good, but the presence of cartilage injury to the femoral head and acetabular impaction poses a high risk for developing debilitating secondary OA. For patients who develop post traumatic OA after an operatively treated acetabular fracture, total hip arthroplasty provides good symptomatic improvement.
List of papers
|I. Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous? Clarke-Jenssen, J. Ovre, S.A. Roise, O. Madsen, J. E.: Arch Orthop Trauma Surg 2015; 135:913–918 The paper is not available in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.1007/s00402-015-2223-9|
|II. Long-Term Survival of the Native Hip After a Minimally Displaced, Nonoperatively Treated Acetabular Fracture. Clarke-Jenssen, J. Wikeroy, A. K. Roise, O. Ovre, S. A. Madsen, J. E.: J Bone Joint Surg Am. 2016;98:1392-9 The paper is not available in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.2106/JBJS.15.01154|
|III. Long-term survival and risk factors for failure of the native hip joint after operatively treated displaced acetabular fractures. Clarke-Jenssen, J. Roise, O. Ovre, S.A. Madsen, J. E.: Bone Joint J. 2017 Jun;99-B(6):834-840. The paper is available in DUO: http://hdl.handle.net/10852/60045|
|IV. Reduced survival for uncemented compared to cemented total hip arthroplasty after operatively treated acetabular fractures. Clarke-Jenssen, J. Westberg, M. Roise, O. Ovre, S.A. Bere, T. Silberg, I Madsen. Injury. 2017 Nov;48(11):2534-2539. The paper is available in DUO: http://hdl.handle.net/10852/60046|