Functional Outcomes of Elderly Patients With Nonoperatively Treated Acetabular Fractures That Meet Operative Criteria. Issue 12 (December 2017)

• Record Type: Journal Article
• Authors: 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.
• Is Part Of: Journal of orthopaedic trauma. Volume 31:Issue 12(2017)
• Publication Date: 2017-12
• Subjects: nonoperative treatment -- acetabular fractures -- elderly patient population; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000000990
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Objectives: To report functional outcomes of displaced acetabular fractures treated nonoperatively in the geriatric patient population. Design: Retrospective case series. Setting: Two Level I trauma centers. Patients: Twenty-seven patients 60 years of age or older who sustained displaced acetabular fractures during an 11-year period. Intervention: Nonoperative treatment. Main Outcome Measurements: 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. Results: 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. Conclusions: Elderly patients with fracture patterns that would qualify for operative treatment in younger healthy patients had surprisingly good outcome scores when treated nonoperatively. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.