Evaluation of decision-making in the treatment of acetabular fractures

EFORT Open Reviews

article

Christof Audretsch¹  Alexander Trulson²  Andreas Höch³  Steven C Herath¹  Tina Histing¹  Markus A Küper¹ 

[1] BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen;BG Trauma Center, Department of Trauma Surgery;Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig

关键词: acetabular fracture;    gender medicine;    predictors for surgery;    epidemiology;    pelvis;    age;   

DOI  :  10.1530/EOR-20-0149

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Treatment of acetabular fractures is challenging and risky, especially when surgery is performed. Yet, stability and congruity of the hip joint need to be achieved to ensure early mobilization, painlessness, and good function. Therefore, coming up with an accurate decision, whether surgical treatment is indicated or not, is the key to successful therapy. Data from the German pelvic Trauma Registry (n  = 4213) was evaluated retrospectively, especially regarding predictors for surgery. Furthermore, a logistic regression model with surgical treatment as the dependent variable was established. 3 mm 84.4%, <1 mm 20%). In total, 51.4% of women and 66.0% of men underwent surgery. Apart from the injury severity score (ISS), factors that characterize the overall picture of the injury were of no importance for the indication of a surgical therapy (isolated pelvic fracture: 62.0%, polytrauma: 58.8%). The most frequent reason for non-operative treatment was ‘minimal displacement’ in 42.2%. Besides fracture classification and fracture characteristics, no factors characterizing the overall injury, except for the ISS, and unexpectedly gender, are important for making a treatment decision. Further studies are needed to determine the relevance of these factors, and whether they should be used for the decision-making process, in particular surgeons with less experience in pelvic surgery, can orient themselves to.

【 授权许可】

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