ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
Risk factors for conversion to total hip arthroplasty after acetabular fractures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Balloon acetabuloplasty for cartilage impaction reduction in traumatic acetabular fractures: a case series and technical note.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Does non-anatomic reduction and fixation of acetabular fractures affect the post-operative quality of life?-a single center, five years, retrospective analytical study.Musculoskeletal surgery · 2026Article
- Comparison of the Biomechanical Stability of Two Fix-and-Replace Techniques in an Acetabular Fracture Model with Pelvic Discontinuity.Journal of clinical medicine · 2026Article
- Technical note: novel utilization of an H-plate for the treatment of posterior wall components of acetabular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Conversion total hip replacement with hardware removal after open reduction and internal fixation of the acetabulum: insights from two case reports.Journal of surgical case reports · 2025Article
- Risk factors for post-traumatic osteoarthritis and subsequent total hip arthroplasty in patients with acetabular fractures.BMC musculoskeletal disorders · 2025Article
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5 authors.
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Abstract
objectivesTo identify acetabular fracture patterns classified according to Letournel that are at risk of conversion to total hip arthroplasty (THA).
designA retrospective cohort study.
settingA Level-I trauma center. PATIENTS/
participantsPatients with an acetabular fracture, classified according to Letournel who were treated with ORIF (n = 280).
interventionsVarious surgical treatments for acetabular fractures.
main outcome measureThe primary outcome was the rate of conversion to total hip arthroplasty.
resultsIn this study, an overall conversion rate to THA of 13.9% within 2.2 years after initial surgery was found. Multivariate analysis revealed that several factors, namely, T-shaped fracture patterns (OR: 7.5, 95% CI 1.9-28.8, p = 0.003) and residual displacement (> 2 mm) (OR: 3.7, 95% CI 1.6-8.5, p = 0.002) are associated with an increased risk of conversion to THA. Furthermore, the risk of conversion to THA increases with 4.7% per gained year of age (OR: 1.047, 95% CI 1.0-1.1, p = 0,001). Other fracture patterns classified according to Letournel were not found to be independent risk factors.
conclusionThe presence of T-shaped fracture patterns is found to be an independent risk factor for conversion to THA. Furthermore, age and degree of reduction are found to be independent risk factors, which is in line with existing literature. These finding should be taken into account when treating patients with T-shaped acetabular fractures. LEVEL OF EVIDENCE: Prognostic study level III. See Instructions for Authors for a complete description of levels of evidence.
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