SynthesisBMC musculoskeletal disorders2024
Risk factors for acetabular fracture treatment failure: a systematic review and meta-analysis.
Synthesis in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Super-acute massive osteolysis of the femoral head after acetabular fracture fixation : a comparative study with conventional post-traumatic osteonecrosis requiring total hip arthroplasty.Bone & joint open · 2026Article
- Demographic, surgical, and radiologic determinants of patient-reported outcomes, hospitalization, and return to work after acetabular fracture ORIF: a tertiary trauma center experience with a minimum two-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Efficacy Comparison of Open Reduction and Robot-Aided Infra-Acetabular and Posterior Column Screws Fixation in Complex Acetabular Fractures Surgery: Union Plate Versus Reconstruction Plate.Orthopaedic surgery · 2026Article
- Risk factors for post-traumatic osteoarthritis following surgical treatment of acetabular posterior wall fractures: a retrospective study.Scientific reports · 2026Article
- Quantitative 3D assessment of marginal impaction volume in posterior wall acetabular fractures: a pilot study.Journal of orthopaedic surgery and research · 2026Article
- A preoperative inflammation-oxidative stress imbalance strongly predicts post-traumatic arthritis after acetabular fracture fixation.American journal of translational research · 2026Article
- Mid-term outcomes of acetabular fractures treated with acute fix and replace versus ORIF in the elderly: a multicentric study with minimum 5-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Finite Element Analysis of a 3D-Printed Acetabular Prosthesis for an Acetabular Defect According to the Paprosky Classification.Materials (Basel, Switzerland) · 2025Article
- Radiological Outcome of the Gradual Increase in Skeletal Traction in Acetabular Fracture.Cureus · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAcetabular fractures can lead to persistent pain and disability. Managing these complex injuries involves several treatment options such as nonoperative methods, percutaneous fixation, open reduction internal fixation (ORIF), and total hip arthroplasty (THA), and various combinations of these techniques. Around 20 to 40% of patients treated with ORIF may develop post-traumatic arthritis requiring THA. To pinpoint the factors contributing to initial treatment failure of acetabular fractures and the subsequent need for THA conversion, we are conducting a systematic review of relevant literature.
methodsA thorough search of PubMed, Scopus, Web of Science, and Embase databases yielded studies investigating risk factors linked to the conversion of acetabular fracture treatment to THA. Inclusion criteria were employed, and data extraction, as well as quality assessment, were conducted by two reviewers. Utilizing R software, meta-analyses were conducted employing the Mantel-Haenszel method. Random-effect models were employed when the I
resultsIn this systematic review involving 25 pertinent studies, our analysis unveiled significant risk factors contributing to the conversion from initial acetabular fracture treatment to THA. Notable factors included advanced age (SMD [95%CI] = 0.43 [0.17-0.69]), female gender (OR [95%CI] = 1.65 [1.15-2.38]), posterior wall involvement (OR [95%CI] = 1.81 [1.32-2.47]), acetabular impaction (OR [95%CI] = 3.23 [1.99-5.25]), femoral impaction (OR [95%CI] = 6.08 [3.35-11.05]), and femoral head dislocation (OR [95%CI] = 3.94 [2.02-7.70]). Associated fracture type exhibited no significant link to the risk of conversion to THA.
conclusionRecognizing these factors allows for the adjustment of patient expectations, providing them with information about the potential necessity of THA in the future. Patients exhibiting these risk factors may derive greater benefits from treatment administered by experienced surgeons.
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