Treatment and complications of patients with ipsilateral acetabular and femur fractures

A multicenter retrospective analysis

Lisa K. Cannada, Justin M. Hire, Preston J. Boyer, Heidi Israel, Hassan Mir, Jason Halvorson, Gregory J. Della Rocca, Bryan Ming, Brian Mullis, Chetan Deshpande

Research output: Contribution to journalArticle

Abstract

Objectives: The purpose of this study was to review the treatment of patients with ipsilateral acetabular and femur fractures to provide descriptive demographic data, injury pattern classification, treatment, and evaluate the complication profile reflective of current practices. Study Design: Multicenter retrospective cohort. Setting: Eight Level 1 Trauma Centers. Patients/Participants: One hundred one patients met inclusion criteria. Intervention: Surgical treatment of both the acetabular and femur fractures. Main Outcome Measurements: The complications evaluated include avascular necrosis, heterotopic ossification, posttraumatic arthritis, deep venous thrombosis, pulmonary embolism and superficial/deep infection, fracture union, and secondary surgeries. Results: Forty-three patients had 31 type fractures (29A; 11B, and 3C), 60 had 32 type (37A, 8B; 15C), and 8 had 33 type (1A, 4B, 3C) femur fractures; 10 patients had combinations involving more than 1 femur fracture pattern. There were 35 62A type fractures, 47 62B, and 19 62C acetabular fractures. Age of 45 or older was associated with marginal impaction (P = 0.001). The aggregate infection rate was 17%. More than 30% of patients required secondary surgeries. The rate of avascular necrosis was higher in acetabular fractures combined with proximal femur fractures (P < 0.05). The rate of deep venous thrombosis was associated with increased age and time to surgical fixation (P < 0.05). Conclusions: We report the largest review of the surgical treatment and complications of ipsilateral acetabular and femoral fractures. This study provides useful information regarding the complications and provides some treatment recommendations regarding these injuries.

Original languageEnglish (US)
Pages (from-to)650-656
Number of pages7
JournalJournal of Orthopaedic Trauma
Volume31
Issue number12
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Fingerprint

Femur
Venous Thrombosis
Necrosis
Therapeutics
Heterotopic Ossification
Femoral Fractures
Trauma Centers
Wounds and Injuries
Infection
Pulmonary Embolism
Multicenter Studies
Arthritis
Demography

Keywords

  • Acetabulum
  • Femur
  • Fractures
  • Ipsilateral

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Treatment and complications of patients with ipsilateral acetabular and femur fractures : A multicenter retrospective analysis. / Cannada, Lisa K.; Hire, Justin M.; Boyer, Preston J.; Israel, Heidi; Mir, Hassan; Halvorson, Jason; Della Rocca, Gregory J.; Ming, Bryan; Mullis, Brian; Deshpande, Chetan.

In: Journal of Orthopaedic Trauma, Vol. 31, No. 12, 01.01.2017, p. 650-656.

Research output: Contribution to journalArticle

Cannada, LK, Hire, JM, Boyer, PJ, Israel, H, Mir, H, Halvorson, J, Della Rocca, GJ, Ming, B, Mullis, B & Deshpande, C 2017, 'Treatment and complications of patients with ipsilateral acetabular and femur fractures: A multicenter retrospective analysis', Journal of Orthopaedic Trauma, vol. 31, no. 12, pp. 650-656. https://doi.org/10.1097/BOT.0000000000000966
Cannada, Lisa K. ; Hire, Justin M. ; Boyer, Preston J. ; Israel, Heidi ; Mir, Hassan ; Halvorson, Jason ; Della Rocca, Gregory J. ; Ming, Bryan ; Mullis, Brian ; Deshpande, Chetan. / Treatment and complications of patients with ipsilateral acetabular and femur fractures : A multicenter retrospective analysis. In: Journal of Orthopaedic Trauma. 2017 ; Vol. 31, No. 12. pp. 650-656.
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AU - Hire, Justin M.

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AU - Israel, Heidi

AU - Mir, Hassan

AU - Halvorson, Jason

AU - Della Rocca, Gregory J.

AU - Ming, Bryan

AU - Mullis, Brian

AU - Deshpande, Chetan

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N2 - Objectives: The purpose of this study was to review the treatment of patients with ipsilateral acetabular and femur fractures to provide descriptive demographic data, injury pattern classification, treatment, and evaluate the complication profile reflective of current practices. Study Design: Multicenter retrospective cohort. Setting: Eight Level 1 Trauma Centers. Patients/Participants: One hundred one patients met inclusion criteria. Intervention: Surgical treatment of both the acetabular and femur fractures. Main Outcome Measurements: The complications evaluated include avascular necrosis, heterotopic ossification, posttraumatic arthritis, deep venous thrombosis, pulmonary embolism and superficial/deep infection, fracture union, and secondary surgeries. Results: Forty-three patients had 31 type fractures (29A; 11B, and 3C), 60 had 32 type (37A, 8B; 15C), and 8 had 33 type (1A, 4B, 3C) femur fractures; 10 patients had combinations involving more than 1 femur fracture pattern. There were 35 62A type fractures, 47 62B, and 19 62C acetabular fractures. Age of 45 or older was associated with marginal impaction (P = 0.001). The aggregate infection rate was 17%. More than 30% of patients required secondary surgeries. The rate of avascular necrosis was higher in acetabular fractures combined with proximal femur fractures (P < 0.05). The rate of deep venous thrombosis was associated with increased age and time to surgical fixation (P < 0.05). Conclusions: We report the largest review of the surgical treatment and complications of ipsilateral acetabular and femoral fractures. This study provides useful information regarding the complications and provides some treatment recommendations regarding these injuries.

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