Objectives: To identify acetabular fracture patterns classified according to Letournel that are at risk of conversion to total hip arthroplasty (THA).
Design: A retrospective cohort study.
Setting: A Level-I trauma center.
Patients/ Participants: Patients with an acetabular fracture, classified according to Letournel who were treated with ORIF (n = 280).
Interventions: Various surgical treatments for acetabular fractures.
Main Outcome Measure: The primary outcome was the rate of conversion to total hip arthroplasty.
Results: In 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.
Conclusion: The 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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666660 | PMC |
| http://dx.doi.org/10.1007/s00068-024-02621-9 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Arthroscopically Assisted Reduction and Fixation of Acute Tillaux, Pilon, Bosworth, Talar, and Calcaneal Fractures: A Systematic Review.
J Am Podiatr Med Assoc
January 2025
†University Orthopaedic Surgery Department, Faculty of Medicine, Democritus University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.
Increased use of arthroscopically assisted techniques for the treatment of ankle fractures has been reported. Despite their rapid development, there is only one systematic review regarding arthroscopically assisted treatment of ankle fractures, in which, however, only malleolar fracture studies are included. Various other types of ankle fractures have also been treated with arthroscopically assisted procedures.
View Article and Find Full Text PDFIn vitro evaluation of antimicrobial photodynamic therapy with photosensitizers and calcium hydroxide on bond strength, chemical composition, and sealing of glass-fiber posts to root dentin.
Lasers Med Sci
January 2025
Department of Preventive and Restorative Dentistry, Discipline of Endodontics, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil.
Investigate the impact of antimicrobial photodynamic therapy (aPDT) using different photosensitizers (PSs) such as indocyanine green (IG), curcumin (CC), and methylene blue (MB), with or without intracanal application of calcium hydroxide (CH), on the push-out bond strength of glass-fiber posts (GFPs) to intraradicular dentin, the chemical composition of the root substrate, and the sealing of the adhesive interface across different thirds of intraradicular dentin. A total of 112 bovine teeth underwent biomechanical preparation and were divided into eight experimental groups (n = 14 each): Negative control with deionized water; positive control with deionized water + CH; IG group with indocyanine green and infrared laser; IG + CH group; CC group with curcumin and blue LED; CC + CH group; MB group with methylene blue and red laser; and MB + CH group. The push-out bond strength was measured using a universal testing machine (n = 8), and scanning electron microscopy characterized the fracture patterns.
View Article and Find Full Text PDFUltra-processed food intake and prevalence of osteoporosis in US adults aged 50 years and older: a cross-sectional analysis.
Osteoporos Int
January 2025
Rush Biostatistics and Bioinformatics Core, Rush University, 600 S. Paulina St., Chicago, IL, 60612, USA.
Unlabelled: Dietary quality may be a factor in the progression of non-communicable, chronic diseases. This analysis of NHANES data demonstrates association between consumption of UPF and prevalence of osteoporosis and osteopenia in adults 50 years and older. UPF intake is an important consideration when recommending dietary patterns for optimum bone health PURPOSE: Declining bone mineral density in older adults can result in osteoporosis, leading to decreased physical function, quality of life, and increased risk of mortality.
View Article and Find Full Text PDFMachine Learning Interatomic Potential for Modeling the Mechanical and Thermal Properties of Naphthyl-Based Nanotubes.
J Chem Theory Comput
January 2025
Physics Postgraduate Program, Institute of Physics, University of Brasília, 70910-900 Brasília-DF, Brazil.
Two-dimensional (2D) nanomaterials are at the forefront of potential technological advancements. Carbon-based materials have been extensively studied since synthesizing graphene, which revealed properties of great interest for novel applications across diverse scientific and technological domains. New carbon allotropes continue to be explored theoretically, with several successful synthesis processes for carbon-based materials recently achieved.
View Article and Find Full Text PDFElucidating interfacial failure of cervical restorations using damage mechanics: A finite element analysis.
J Dent Sci
January 2025
Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany.
Background/purpose: Although clinical studies have suggested a link between non-axial forces and reduced longevity of cervical restorations, the underlying mechanisms require further numerical investigation. This in-silico study employed a cohesive zone model (CZM) to investigate interfacial damage in a cervical restoration subjected to different load directions.
Materials And Methods: A plane strain model of a maxillary premolar was established, with a wedge-shaped buccal cervical restoration.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!