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Patient-reported outcome measures after surgery for an acetabular fracture.

Abstract Aims The aim of this study was to record the incidence of post-traumatic osteoarthritis (OA), the need for total hip arthroplasty (THA), and patient-reported outcome measures (PROMS) after surgery for a fracture of the acetabulum, in our centre. Patients and Methods All patients who underwent surgery for an acetabular fracture between 2004 and 2014 were included. Patients completed the 36-Item Short Form Health Survey (SF-36) and the modified Harris Hip Score (mHHS) questionnaires. A retrospective chart and radiographic review was performed on all patients. CT scans were used to assess the classification of the fracture and the quality of reduction. Results A total of 220 patients were included, of which 55 (25%) developed post-traumatic OA and 33 (15%) underwent THA. A total of 164 patients completed both questionnaires. At a mean follow-up of six years (2 to 10), the mean SF-36 score for patients with a preserved hip joint was higher on role limitations due to physical health problems than for those with OA or those who underwent THA. In the dimension of bodily pain, patients with OA had a significantly better score than those who underwent THA. Patients with a preserved hip joint had a significantly better score on the function scale of the mHHS and a better total score than those with OA or who underwent THA. Conclusion Of the patients who were treated surgically for an acetabular fracture (with a mean follow-up of six years), 15% underwent THA at a mean of 2.75 years postoperatively. Patients with a THA had a worse functional outcome than those who retain their native hip joint. We recommend using PROMS and CT scans when reviewing these patients. Cite this article: Bone Joint J 2018;100-B:640-5.
PMID
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Authors

Mayor MeshTerms

Arthroplasty, Replacement, Hip

Patient Reported Outcome Measures

Keywords

Acetabular fracture

Patient-reported outcome measures

Surgical treatment

Total hip arthroplasty

Journal Title the bone & joint journal
Publication Year Start




PMID- 29701094
OWN - NLM
STAT- MEDLINE
DCOM- 20180516
LR  - 20180516
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 5
DP  - 2018 May 1
TI  - Patient-reported outcome measures after surgery for an acetabular fracture.
PG  - 640-645
LID - 10.1302/0301-620X.100B5.BJJ-2017-0871.R3 [doi]
AB  - Aims The aim of this study was to record the incidence of post-traumatic
      osteoarthritis (OA), the need for total hip arthroplasty (THA), and
      patient-reported outcome measures (PROMS) after surgery for a fracture of the
      acetabulum, in our centre. Patients and Methods All patients who underwent
      surgery for an acetabular fracture between 2004 and 2014 were included. Patients 
      completed the 36-Item Short Form Health Survey (SF-36) and the modified Harris
      Hip Score (mHHS) questionnaires. A retrospective chart and radiographic review
      was performed on all patients. CT scans were used to assess the classification of
      the fracture and the quality of reduction. Results A total of 220 patients were
      included, of which 55 (25%) developed post-traumatic OA and 33 (15%) underwent
      THA. A total of 164 patients completed both questionnaires. At a mean follow-up
      of six years (2 to 10), the mean SF-36 score for patients with a preserved hip
      joint was higher on role limitations due to physical health problems than for
      those with OA or those who underwent THA. In the dimension of bodily pain,
      patients with OA had a significantly better score than those who underwent THA.
      Patients with a preserved hip joint had a significantly better score on the
      function scale of the mHHS and a better total score than those with OA or who
      underwent THA. Conclusion Of the patients who were treated surgically for an
      acetabular fracture (with a mean follow-up of six years), 15% underwent THA at a 
      mean of 2.75 years postoperatively. Patients with a THA had a worse functional
      outcome than those who retain their native hip joint. We recommend using PROMS
      and CT scans when reviewing these patients. Cite this article: Bone Joint J
      2018;100-B:640-5.
FAU - Frietman, B
AU  - Frietman B
AD  - Department of Trauma Surgery, Radboud University Medical Centre, Nijmegen, The
      Netherlands.
FAU - Biert, J
AU  - Biert J
AD  - Department of Trauma Surgery, Radboud University Medical Centre, Nijmegen, The
      Netherlands.
FAU - Edwards, M J R
AU  - Edwards MJR
AD  - Department of Trauma Surgery, Radboud University Medical Centre, Nijmegen, The
      Netherlands.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - Acetabulum/diagnostic imaging/injuries/*surgery
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Arthroplasty, Replacement, Hip
MH  - Female
MH  - Fractures, Bone/complications/diagnostic imaging/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis, Hip/etiology/*surgery
MH  - *Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - Tomography, X-Ray Computed
MH  - Young Adult
OTO - NOTNLM
OT  - Acetabular fracture
OT  - Patient-reported outcome measures
OT  - Surgical treatment
OT  - Total hip arthroplasty
EDAT- 2018/04/28 06:00
MHDA- 2018/05/17 06:00
CRDT- 2018/04/28 06:00
PHST- 2018/04/28 06:00 [entrez]
PHST- 2018/04/28 06:00 [pubmed]
PHST- 2018/05/17 06:00 [medline]
AID - 10.1302/0301-620X.100B5.BJJ-2017-0871.R3 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 May 1;100-B(5):640-645. doi:
      10.1302/0301-620X.100B5.BJJ-2017-0871.R3.