Management of Acetabular Fractures
Conditions
Brief summary
Acetabular fractures are challenging fractures to treat. Many fracture patterns occur, in a deep anatomical area surrounded by numerous vascular and nervous elements, generally in a polytraumatic context . A reduction with less than 2 mm of incongruence is generally considered acceptable, limiting post-operative osteoarthritis that could rapidly require total hip arthroplasty. Due to the long learning curve, this surgery is limited to large reference centers . In the last twenty years, the main series published in the literature are small series due to the rarity of the fractures and their trauma context (loss of follow-up, polytrauma patients…). The large variety of fracture patterns according to the Letournel classification creates a spread in patient distribution and decreases the power of statistical analysis. That is the reason why big series are rare and only a few of them allow significant conclusions . The other studies are meta-analyses with their limitations The lack of consensus makes it difficult to interpret the results between series, so the investigators developed a decision tree to address this knowledge gap. The aim of this study is to assess and compare the results of a decisional tree for acetabular fracture in a large cohort of patients from a well-known experimental trauma center.
Interventions
None listed
Sponsors
University Hospital, Grenoble
Study design
Observational model
COHORT
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Adult patient at the time of injury * Acetabular fracture * Pre-operative standard X-ray image * Pre-operative CT image * Post-operative X-ray standard image (AP-alar and obturator views) * Post-operative CT scan. * Willingness and ability to participate in the study
Exclusion criteria
* Ipsilateral fracture femoral and/or associated pelvic ring fracture (Floating Hip C or B) * Pregnant, lactating women * Subject under administrative or judicial supervision
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The main objective of the study is to evaluate and compare the results of a decision tree for the management of acetabulum fractures (also called acetabulum) in a large cohort of patients from the trauma center at Grenoble University Hospital | 1 year | Clinical results according to the Postel-Merle d'Aubigné score (PMA) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Define the prognostic factors associated with poor clinical outcomes and total hip replacement surgery | 1 year | Prognostic factors from operative data |
| Compare clinical and radiological findings with the literature | 1 year | Clinical outcomes according to Harris Hip Score(HHS) |
| Propose a new assessment of the traumatic hip joint based on PROMs (Patient Reported Outcomes Measures) via a dedicated digital application (Orthense by Digikare) | 1 year | Epidemiological data based on PROMs (Patient Reported Outcomes Measures) via a dedicated digital application (Orthense by Digikare) |
| Evaluation of Outcomes and Complications of Early Weight Bearing in Older Adults | 1 year | Complications intra-operative and postoperative (including complications of early weight bearing) |
Countries
France
Outcome results
None listed