ArticleBMC musculoskeletal disorders2025
Risk factors for post-traumatic osteoarthritis and subsequent total hip arthroplasty in patients with acetabular fractures.
Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Role of external forces in the mechanobiology of stem and differentiated chondrogenic cells embedded in a tissue-engineered construct for cartilage repair.Journal of biomedical science · 2026Review
- Risk factors for post-traumatic osteoarthritis following surgical treatment of acetabular posterior wall fractures: a retrospective study.Scientific reports · 2026Article
- A preoperative inflammation-oxidative stress imbalance strongly predicts post-traumatic arthritis after acetabular fracture fixation.American journal of translational research · 2026Article
- Robot-assisted frame screws placement for the surgical management of complex acetabular fractures: a single-center retrospective study.BMC musculoskeletal disorders · 2025Article
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Abstract
backgroundPost-traumatic osteoarthritis (PTOA) often develops after acetabular fractures, leading to a need for total hip arthroplasty (THA). This study aimed to identify the risk factors associated with PTOA and subsequent THA among patients with acetabular fractures treated with open reduction and internal fixation (ORIF).
methodsThe records of patients with closed acetabular fractures treated at a tertiary care medical center in Taiwan from 2002 to 2019 were retrospectively reviewed. Eligibility criteria were patients who underwent ORIF with a minimum follow-up of 2 years. The primary outcomes were occurrence of PTOA and subsequent THA. Multivariate logistic regression was employed to identify significant factors associated with PTOA and THA.
resultsA total of 54 patients were included, with a mean age of 41.4 years and 76% were male (n = 41). PTOA occurred in 28 patients (52%), and 13 patients (24%) required THA. Advanced age (adjusted odds ratio [aOR] = 1.05, 95% confidence interval [CI]: 1.00-1.10, p = 0.035) and a both column fracture (aOR = 12.80, 95% CI: 2.21-74.16, p = 0.004) were significant predictors of PTOA. Time to ORIF (aOR = 1.36, 95% CI: 1.06-1.75, p = 0.018) and unsatisfactory Matta criteria (aOR = 7.62, 95% CI: 1.30-44.58, p = 0.024) were significant predictors for subsequent THA.
conclusionAge and fracture pattern are independent predictors of PTOA, while time to ORIF and Matta criteria are predictive of the need for THA. Early timing of ORIF could decrease the likelihood of subsequent THA, underscoring the importance of prompt surgical intervention in clinical decision-making to optimize patient outcomes. Further research is needed to refine preoperative risk stratification and clinical management strategies for patients with acetabular fractures.
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