Ahmed Malik, Abuodeh Yousef, Alhammoud AbdulJabbar, Salameh Motasem, Hasan Khalid, Ahmed Ghalib
Queen Medical Center, Nottingham University Hospital, Nottingham, UK.
Orthopedics Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar.
Int Orthop. 2018 Sep;42(9):2211-2217. doi: 10.1007/s00264-018-3824-z. Epub 2018 Feb 11.
This study aimed to review the epidemiological aspects of acetabular fractures treated at Hamad Medical Corporation in Qatar. The study is the first orthopaedic trauma epidemiological study in Qatar and will provide a platform to advance high-level clinical research.
We obtained data for 103 patients who presented to our level I trauma centre from 2008 to 2010 with a diagnosis of acetabular fracture. Age, sex, the cause of injury, fracture classification, mode of treatment, associated nerve injuries, and other complications were analyzed.
The incidence of acetabular fracture was 2/100,000/year. Males (93.2%) predominated. The mean age at injury time was 36 years, and the most common cause of injury was motor vehicle collisions (49.5%). Injuries were mostly primary acetabular fractures (73.6%) in comparison to (26.4%) for associated fractures. Posterior wall fractures were the most common pattern (25.2%). Associated posterior hip dislocation occurred in 21.3% of cases. Data revealed a lower incidence of post-traumatic sciatic nerve palsy (7%) that was present at the time of injury. There were no cases of reported mortality.
Acetabular fractures are uncommon injuries with motor vehicle collision being the most common cause of injury. Posterior wall fracture was the most frequent pattern, and most of the patients were males. The incidence of post-traumatic sciatic nerve palsy and the proportion of injured women were lower than those reported in literature. Well-trained surgeons and specialized centres for treating these injuries are recommended.
本研究旨在回顾卡塔尔哈马德医疗公司治疗髋臼骨折的流行病学情况。该研究是卡塔尔第一项骨科创伤流行病学研究，将为推进高水平临床研究提供一个平台。
我们获取了2008年至2010年在我们一级创伤中心就诊且诊断为髋臼骨折的103例患者的数据。分析了年龄、性别、受伤原因、骨折分类、治疗方式、相关神经损伤及其他并发症。
髋臼骨折的发病率为每年2/10万。男性占主导（93.2%）。受伤时的平均年龄为36岁，最常见的受伤原因是机动车碰撞（49.5%）。与合并骨折（26.4%）相比，损伤大多为原发性髋臼骨折（73.6%）。后壁骨折是最常见的类型（25.2%）。21.3%的病例发生了合并的后髋关节脱位。数据显示创伤后坐骨神经麻痹的发生率较低（7%），且在受伤时就已存在。没有报告死亡病例。
髋臼骨折是罕见损伤，机动车碰撞是最常见的受伤原因。后壁骨折是最常见的类型，且大多数患者为男性。创伤后坐骨神经麻痹的发生率以及受伤女性的比例低于文献报道。建议配备训练有素的外科医生和治疗这些损伤的专业中心。
