Mousafeiris Vasileios K, Vasilopoulou Anastasia, Chloros George D, Panteli Michalis, Giannoudis Peter V
Orthopedic Surgery Working Group, Society for Junior Doctors, Athens, Greece.
St. Andrews General Hospital of Patras, Patras, Greece.
Indian J Orthop. 2022 Jan 8;56(5):752-761. doi: 10.1007/s43465-021-00593-1. eCollection 2022 May.
Bilateral acetabular fractures constitute a rare entity, and their optimal management is unknown.
A systematic literature search was conducted in PubMed, Embase and Cochrane Library between 1995 and 2020. Inclusion criteria were studies presenting cases of bilateral acetabular fractures and reporting outcomes. Extracted data included patient demographics, injury mechanism, fracture classification, associated injuries, management and outcomes.
Thirty-seven studies (47 cases; 35 males vs 12 females) were included. Mean age was 46 years old (range 13-84) and mean follow-up was 19.8 months (range 1.5-56). High-energy injuries (49%) and seizures (45%) were the most common injury mechanisms. Fracture type distribution differed according to injury mechanism. Treatment was surgical in 70% of cases (75% open reduction and internal fixation vs 25% acute total hip arthroplasty). Outcomes were excellent/good in 58% of patients. Complications included heterotopic ossification (11%), nerve injury (11%), degenerative arthritis (6%), DVT (6%), and infection (3%).
Bilateral acetabular fractures most commonly occur either after trauma or seizures and are commonly managed operatively. They are not devoid of complications, however, more than half (58%) achieve complete functional recovery.
双侧髋臼骨折是一种罕见的疾病，其最佳治疗方法尚不清楚。
于1995年至2020年间在PubMed、Embase和Cochrane图书馆进行了系统的文献检索。纳入标准为呈现双侧髋臼骨折病例并报告结果的研究。提取的数据包括患者人口统计学、损伤机制、骨折分类、相关损伤、治疗方法及结果。
纳入37项研究（47例；男性35例，女性12例）。平均年龄为46岁（范围13 - 84岁），平均随访时间为19.8个月（范围1.5 - 56个月）。高能损伤（49%）和癫痫发作（45%）是最常见的损伤机制。骨折类型分布因损伤机制而异。70%的病例采用手术治疗（75%为切开复位内固定，25%为急性全髋关节置换术）。58%的患者结果为优/良。并发症包括异位骨化（11%）、神经损伤（11%）、退行性关节炎（6%）、深静脉血栓形成（6%）和感染（3%）。
双侧髋臼骨折最常见于创伤或癫痫发作后，通常采用手术治疗。虽然它们并非没有并发症，但超过一半（58%）的患者实现了完全功能恢复。
