Acetabular fractures: long-term follow-up of open reduction and internal fixation

Rick Wright, Kim Barrett, Michael J. Christie, Kenneth D. Johnson

Research output: Contribution to journalArticle

107 Scopus citations

Abstract

Eighty-seven acetabular fractures in eighty-seven patients underwent open reduction and internal fixation at Vanderbilt University Hospital from 1984 to 1989. Fifty-six were treated by orthopaedic traumatologists. Fifty-six patients returned for long-term follow-up (range 24-80 months, average 43). Harris hip ratings were used to clinically grade the results. Poor results were found in 43%. Eighty-three percent of the patients with poor results had satisfactory surgical reductions with 3 mm of residual displacement. Factors other than surgical reduction contributed significantly to the poor results. These included hip dislocation associated with the fracture, class III or IV heterotopic ossification, development of avascular necrosis, and age 40 years. These factors in addition to adequacy of surgical reduction allow us to better counsel patients as to long-term prognosis.

Original languageEnglish
Pages (from-to)397-403
Number of pages7
JournalJournal of orthopaedic trauma
Volume8
Issue number5
DOIs
StatePublished - Oct 1994

Keywords

  • Acetabular fractures
  • Internal fixation
  • Open reduction

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