Phruetthiphat Ong-Art, Willey Michael, Karam Matthew D, Gao Yubo, Westerlind Brian O, Marsh J Lawrence
*Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA; and †Department of Orthopaedic Surgery, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
J Orthop Trauma. 2017 Jan;31(1):31-36. doi: 10.1097/BOT.0000000000000720.
To compare patients with acetabular fractures that are isolated (acetabular fracture alone) and acetabular fracture presenting with additional nonacetabular injury using functional outcomes, complications, and readmissions.
Retrospective review.
Level 1 Trauma Center.
PATIENTS/PARTICIPANTS: Two hundred fifteen patients underwent open surgical treatment for acetabular fracture between 2003 and 2012 with age ≥18 years and minimum 1-year follow-up inclusive of functional scores and complications.
Surgical treatment of acetabular fracture.
Postoperative functional outcomes at 1 year as assessed with the Short Form 36 (SF-36) Health Survey Questionnaire and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), postoperative complications including readmissions.
Acetabular fractures patients with associated nonacetabular injuries exhibited a longer length of hospital stay (P < 0.0001) and higher readmission rate within 90 days (P = 0.012) compared with patients in the isolated injury group. Acetabular fracture with either chest or abdominal injury had the longest average hospital stay (19.2 and 19.1 days, respectively). Functional scores between 2 groups were comparable at 1-year follow-up, except acetabular fractures with pelvic ring injury, which had a significantly lower physical component score of SF-36 (P = 0.007) compared with the isolated group.
Acetabular fractures with associated nonacetabular injuries have longer hospital stays, higher complications, and readmissions. Specifically, patients with associated truncal injury had worse clinical outcome and longer hospital stays. These conclusions should be taken into account when counseling patients with acetabular fractures, as additional injuries will greatly affect the course of treatment and the outcomes.
Prognostic level III. See Instructions for Authors for a complete description of levels of evidence.
使用功能结局、并发症和再入院情况，比较单纯髋臼骨折（仅髋臼骨折）患者与合并其他非髋臼损伤的髋臼骨折患者。
回顾性研究。
一级创伤中心。
患者/参与者：2003年至2012年间，215例年龄≥18岁且至少随访1年（包括功能评分和并发症）的髋臼骨折患者接受了开放手术治疗。
髋臼骨折的手术治疗。
采用简短36项健康调查问卷调查（SF-36）和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评估术后1年的功能结局，术后并发症包括再入院情况。
与单纯损伤组患者相比，合并非髋臼损伤的髋臼骨折患者住院时间更长（P < 0.0001），90天内再入院率更高（P = 0.012）。合并胸部或腹部损伤的髋臼骨折患者平均住院时间最长（分别为19.2天和19.1天）。两组患者在1年随访时的功能评分相当，但合并骨盆环损伤的髋臼骨折患者的SF-36身体成分评分明显低于单纯损伤组（P = 0.007）。
合并非髋臼损伤的髋臼骨折患者住院时间更长、并发症更多且再入院率更高。具体而言，合并躯干损伤的患者临床结局更差，住院时间更长。在为髋臼骨折患者提供咨询时应考虑这些结论，因为额外的损伤会极大地影响治疗过程和结局。
预后III级。有关证据级别的完整描述，请参阅作者指南。
