Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures

Emilia Dadura, Aleksandra Truszczyńska-Baszak and Dariusz Szydłowski
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Emilia Dadura: Faculty of Physiotherapy, Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland
Aleksandra Truszczyńska-Baszak: Faculty of Physiotherapy, Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland
Dariusz Szydłowski: Department of Orthopaedic Surgery, Professor A. Gruca Independent Public Research Hospital, Centre of Postgraduate Medical Education, 05-400 Otwock, Poland

IJERPH, 2022, vol. 19, issue 3, 1-9

Abstract: (1) Fracture of the pelvis usually happens in young men and results from high-energy trauma. It generates high social and economic costs and results in further health problems. It is therefore important to assess long-term treatment results. (2) The study (NCT04902209) involved 31 patients (mean age 43.6 ± 14.8 years). We conducted fixation assessment on the basis of radiographs and CT scans and functional assessment based on functional scales. (3) We observed more degenerative changes in the less precise reconstruction of the acetabulum ( p = 0.075). We did not find statistically significant relationships between the area of surgical approach, the gravity of fracture, and the development of degenerative changes. We did not find statistically significant relationships between patients’ functional states and the type of surgical approach or the complexity of the fracture. We found a positive correlation between the time of surgical treatment and patients’ functional state ( p = 0.04). Patients whose joint surfaces were reconstructed anatomically had significantly higher scores in functional scales (HHS p = 0.05, Merle p = 0.03). (4) Patients after surgical fixation of the acetabulum have low functional abilities. The quality of reconstruction of the loaded surface as well as the length of time post-surgery seems to be essential for the patients’ functional state.

Keywords: acetabulum fractures; pelvic; ORIF; functional assessment; HHS; Merle d’Aubigne Scale (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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