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Higher Baseline Resiliency Scores Correlate With Better Patient-Reported Outcomes Following Acetabular Fixation.

Ryan N McIlwain1, Robin M Litten1, Mary Jane McConnell2

  • 1Department of Orthopaedic Surgery, University of Alabama at Birmingham; Birmingham, AL.

Journal of Orthopaedic Trauma
|April 10, 2026
PubMed
Summary

High patient resilience is linked to better recovery after acetabular fracture surgery. Patients with higher resilience reported improved physical function and mental health outcomes six and twelve months post-operation.

Keywords:
PROMISacetabular fracturespatient-reported outcomesresiliency

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Psychological Resilience

Background:

  • Acetabular fractures are severe injuries requiring surgical fixation.
  • Patient-reported outcomes (PROMs) are crucial for evaluating recovery.
  • The role of psychological factors like resilience in recovery is increasingly recognized.

Purpose of the Study:

  • To investigate the association between patient resilience and PROMs.
  • To assess outcomes at six and twelve months post-acetabular fracture surgery.
  • To determine if baseline resilience predicts functional and mental health recovery.

Main Methods:

  • Retrospective cohort study design.
  • Inclusion of adult patients with operatively treated acetabular fractures (AO/OTA 62).
  • Utilized Brief Resilience Scale (BRS) and Patient-Reported Outcomes Measurement Information System (PROMIS) surveys.
  • Multivariable linear regression analysis adjusted for clinical covariates.

Main Results:

  • 111 patients were included in the analysis.
  • High resilience (BRS ≥ 3.7) was independently associated with better PROMIS Physical Function, Global Physical Health, and Global Mental Health scores at six months.
  • High resilience also correlated with lower Pain Interference, Depression, and Anxiety scores at six months.
  • Similar positive associations were observed at the twelve-month follow-up.

Conclusions:

  • Higher baseline resilience is significantly associated with superior patient-reported outcomes.
  • This association extends to physical function, mental health, and pain interference.
  • Resilience may be a key factor influencing recovery trajectories after acetabular fracture surgery.