Related Experiment Video
Updated: May 12, 2025
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Risk factors for post-traumatic osteoarthritis and subsequent total hip arthroplasty in patients with acetabular
Hung Yen Chen1, Yao Hung Tsai2
1Department of Orthopaedic Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Background:
Post-traumatic osteoarthritis (PTOA) often develops after acetabular fractures, leading to a need for total hip arthroplasty (THA). This study aimed to identify the risk factors associated with PTOA and subsequent THA among patients with acetabular fractures treated with open reduction and internal fixation (ORIF).
Methods:
The records of patients with closed acetabular fractures treated at a tertiary care medical center in Taiwan from 2002 to 2019 were retrospectively reviewed. Eligibility criteria were patients who underwent ORIF with a minimum follow-up of 2 years. The primary outcomes were occurrence of PTOA and subsequent THA. Multivariate logistic regression was employed to identify significant factors associated with PTOA and THA.
Results:
A total of 54 patients were included, with a mean age of 41.4 years and 76% were male (n = 41). PTOA occurred in 28 patients (52%), and 13 patients (24%) required THA. Advanced age (adjusted odds ratio [aOR] = 1.05, 95% confidence interval [CI]: 1.00-1.10, p = 0.035) and a both column fracture (aOR = 12.80, 95% CI: 2.21-74.16, p = 0.004) were significant predictors of PTOA. Time to ORIF (aOR = 1.36, 95% CI: 1.06-1.75, p = 0.018) and unsatisfactory Matta criteria (aOR = 7.62, 95% CI: 1.30-44.58, p = 0.024) were significant predictors for subsequent THA.
Conclusion:
Age and fracture pattern are independent predictors of PTOA, while time to ORIF and Matta criteria are predictive of the need for THA. Early timing of ORIF could decrease the likelihood of subsequent THA, underscoring the importance of prompt surgical intervention in clinical decision-making to optimize patient outcomes. Further research is needed to refine preoperative risk stratification and clinical management strategies for patients with acetabular fractures.
More Related Videos
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
08:42A Reproducible Cartilage Impact Model to Generate Post-Traumatic Osteoarthritis in the Rabbit
Published on: November 21, 2023
