ArticleBMC musculoskeletal disorders2021
Surgical outcomes of transverse acetabular fractures and risk factors for poor outcomes.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Evaluation of surgical approach on reduction quality for transverse-family acetabulum fractures.Journal of orthopaedic surgery and research · 2025Article
- The Kocher-Langenbeck approach combined with TiRobot-assisted percutaneous anterior column screw fixation for transverse with or without posterior wall fractures of acetabulum: a retrospective study.International orthopaedics · 2025Article
- Surgical treatment of acetabular fractures: a comparative cohort study comparing orthogonal double plating to suprapectineal quadrilateral surface (QLS) plate osteosynthesis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Impact of COVID-19 pandemic outbreak on pelvic trauma surgical management.Scientific reports · 2025Article
- Does a simultaneous ventral/dorsal approach provide better reduction quality in treating acetabular fracture involving both columns with displaced posterior wall?Archives of orthopaedic and trauma surgery · 2024Article
- Article
- 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
- Three-dimensional mapping study of pure transverse acetabular fractures.Journal of orthopaedic surgery and research · 2022Article
- The Pararectus approach in acetabular fractures treatment: functional and radiologcial results.BMC musculoskeletal disorders · 2022Article
- The Kocher-Langenbeck approach combined with robot-aided percutaneous anterior column screw fixation for transverse-oriented acetabular fractures: a retrospective study.BMC musculoskeletal disorders · 2022Article
- Outcome of acetabulum fractures treated with open reduction and internal fixation through Kocher-Langenbeck Approach: A retrospective study.Journal of clinical orthopaedics and trauma · 2021Article
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5 authors.
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Abstract
backgroundTransverse acetabular fractures, although classified as elementary, have worse outcomes than other types of acetabular fractures. Prognostic factors for this fracture type are not clearly established. This study aimed to assess the surgical outcomes of transverse acetabular fractures and subtypes thereof and to investigate the prognostic factors.
methodsBetween 2014 and 2019, 39 patients (39 hips) had transverse fractures or subtypes thereof. We reviewed the surgical outcomes and evaluated patient factors, injury factors, and surgical factors in relation to osteoarthritis (OA) and conversion to total hip arthroplasty (THA). Additionally, we analyzed the cutoff values for postoperative residual gaps and steps.
resultsTwenty-three male patients and sixteen female with a mean age of 41.7 years (range, 18-78 years) were included. There were 29 satisfactory reductions (74.4%). Eleven hips (28.2%) developed OA, and five (12.8%) of them underwent THA. Dome impaction (odds ratio [OR], 41.173; 95% confidence interval [CI], 1.804-939.814; p = 0.020) and residual gaps (OR, 4.251; 95% CI, 1.248-14.479; p = 0.021) were correlated with poor outcomes. Residual gaps (≥3 mm) and residual steps (≥1 mm) were significantly associated with OA.
conclusionsRelatively poor reduction was found for transverse acetabular fractures and subtypes thereof. However, the rates of OA and conversion to THA were not high. Dome impaction and wide residual gaps were identified as risk factors for poor outcomes. The development of OA significantly increased if residual gap and step were more than 3 mm and 1 mm, respectively.
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