ArticleInternational orthopaedics2019
Predictors for secondary hip osteoarthritis after acetabular fractures-a pelvic registry study.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Risk factors for acetabular fracture treatment failure: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- The Predictive Factors for Post-Traumatic Hip Osteoarthritis After Surgical Treatment of Acetabular Fractures: A Retrospective Cohort of 130 Patients.Journal of clinical medicine · 2026Article
- A preoperative inflammation-oxidative stress imbalance strongly predicts post-traumatic arthritis after acetabular fracture fixation.American journal of translational research · 2026Article
- Acute total hip arthroplasty for posterior wall acetabular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Impact of prior osteotomy and osteosynthesis on long-term outcomes after total hip arthroplasty : a 1:1 Mahalanobis distance-matched registry study of 5,392 patients.Bone & joint open · 2025Article
- Risk factors for post-traumatic osteoarthritis and subsequent total hip arthroplasty in patients with acetabular fractures.BMC musculoskeletal disorders · 2025Article
- Pelvis/acetabulum: management of geriatric injuries.OTA international : the open access journal of orthopaedic trauma · 2025Article
- The German pelvic database.Archives of orthopaedic and trauma surgery · 2025Review
- Articular impactions in acetabular fractures.Archives of orthopaedic and trauma surgery · 2024Review
- Risk factors for conversion to total hip arthroplasty after acetabular fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Using calcaneal plates in fixation of comminuted posterior wall acetabular fractures with cranial or posterior extension: a prospective case series and novel technique.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Treatment of Geriatric Acetabular Fractures Using the Modified Stoppa Approach: A Review Article of Technique, Tips, and Pitfalls.Journal of clinical medicine · 2024Review
- Outcomes of acetabular fractures.Archives of orthopaedic and trauma surgery · 2024Review
- Treatment Trends and Epidemiologic Changes in Acetabular Fracture Management over the Course of 10 Years: An Analysis Based on 2853 Patients as Treated by the German Pelvic Multicenter Study Group.Journal of clinical medicine · 2024Article
- [Navigated or conventional acetabular surgery : Comparison of positional accuracy exemplified by the infra-acetabular screw].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Predictors for post-traumatic hip osteoarthritis in patients with transverse acetabular fractures following open reduction internal fixation: a minimum of 2 years' follow-up multicenter study.BMC musculoskeletal disorders · 2023Article
- OUTCOMES OF SURGICAL TREATMENT FOR DISPLACED BOTH-COLUMN ACETABULAR FRACTURES.Acta clinica Croatica · 2023Article
- Operative management of acetabular fractures in the elderly: a case series.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Quality of life from return to work and sports activities to sexual dysfunction after surgical treatment of acetabular fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSecondary hip osteoarthritis after acetabular fractures requiring total arthroplasty (THA) poses a huge burden on the affected patients as well as health systems. The present study aimed to assess risk factors associated with THA after acetabular fractures based on the data from the German Pelvic Trauma Registry.
methodsRetrospective analysis of 678 acetabular fracture cases without concomitant pelvic ring fracture treated and followed-up between January 2004 and May 2015 at six large trauma centres. Multivariate Cox regression analysis was performed assessing the association of patient/treatment characteristics with THA likelihood at an average follow-up of 2.7 years (range 0.4-9.5 years; SD 1.8 years).
resultsOverall, the rate of secondary osteoarthritis was 19.8%. The likelihood for THA increased with 6% per age year (95% CI 1.04-1.09) and with 21% per millimetre subluxation (95%CI 1.09-1.33). This likelihood was 3.54 (95% CI 1.77-7.08) and 3.68 times (95% CI 1.87-7.47) higher if the posterior wall was involved and a contusion and/or impaction of the femoral head was present. Other covariates (sex, ISS, trauma type, AO/OTA and Letournel classification, initial displacement, surgical approach, intra-articular fragments, contusion and/or impaction to the acetabulum, reduction, intervention type, duration of surgery, soft tissue damage, residual fracture step/gap, and prevention of heterotopic ossifications) were not significantly associated (p > 0.15).
conclusionsTwenty percent of patients with acetabular fractures require THA. The associated risk factors are patient age, femoral head lesion/subluxation, and involvement of the posterior wall. The identified risk factors support previous research and should be minded when treatment of acetabular fractures is planned.
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