Ryan, Scott P.;
Manson, Theodore T.;
Sciadini, Marcus F.;
Nascone, Jason W.;
LeBrun, Christopher T.;
Castillo, Renan C.;
Muppavarapu, Ragu;
Schurko, Brian;
O'Toole, Robert V.
Functional Outcomes of Elderly Patients With Nonoperatively Treated Acetabular Fractures That Meet Operative Criteria
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Media type:
E-Article
Title:
Functional Outcomes of Elderly Patients With Nonoperatively Treated Acetabular Fractures That Meet Operative Criteria
Contributor:
Ryan, Scott P.;
Manson, Theodore T.;
Sciadini, Marcus F.;
Nascone, Jason W.;
LeBrun, Christopher T.;
Castillo, Renan C.;
Muppavarapu, Ragu;
Schurko, Brian;
O'Toole, Robert V.
Description:
<jats:sec>
<jats:title>Objectives:</jats:title>
<jats:p>To report functional outcomes of displaced acetabular fractures treated nonoperatively in the geriatric patient population.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Design:</jats:title>
<jats:p>Retrospective case series.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Setting:</jats:title>
<jats:p>Two Level I trauma centers.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Patients:</jats:title>
<jats:p>Twenty-seven patients 60 years of age or older who sustained displaced acetabular fractures during an 11-year period.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Intervention:</jats:title>
<jats:p>Nonoperative treatment.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Main Outcome Measurements:</jats:title>
<jats:p>Primary outcome measurements were Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and Short Form 8 (SF-8) scores. Secondary outcome measurements were conversion to open reduction and internal fixation or total hip arthroplasty and 1-year mortality.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results:</jats:title>
<jats:p>Twenty-six patients completed the WOMAC and SF-8 surveys. The overall WOMAC score was 12.9 ± 15.6 (range, 0–59.4). The average physical SF-8 was 51.1 ± 8.7 (range, 30.4–58.6), and the average mental SF-8 was 55 ± 6.2 (range, 30.4–58.6). The 1-year mortality rate was 24%. Conversion of treatment occurred in 15% of patients.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusions:</jats:title>
<jats:p>Elderly patients with fracture patterns that would qualify for operative treatment in younger healthy patients had surprisingly good outcome scores when treated nonoperatively.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Level of Evidence:</jats:title>
<jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.</jats:p>
</jats:sec>