Injury
Volume 41, Issue 8 , Pages 839-851 , August 2010

Changes in the treatment of acetabular fractures over 15 years: Analysis of 1266 cases treated by the German Pelvic Multicentre Study Group (DAO/DGU)

  • Björn Gunnar Ochs

      Affiliations

    • BG Trauma Centre, Eberhard Karls University of Tübingen, Schnarrenbergstraße 95, 72076 Tübingen, Germany
    • ,
  • Ivan Marintschev

      Affiliations

    • University Hospital of Jena, Department of Trauma-, Hand- and Reconstructive Surgery, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07747 Jena, Germany
    • ,
  • Heike Hoyer

      Affiliations

    • Institute of Medical Statistics, Information Sciences and Documentation, Friedrich-Schiller-University of Jena, Bachstraße 18, 07743 Jena, Germany
    • ,
  • Bernd Rolauffs

      Affiliations

    • BG Trauma Centre, Eberhard Karls University of Tübingen, Schnarrenbergstraße 95, 72076 Tübingen, Germany
    • ,
  • Ulf Culemann

      Affiliations

    • University Hospital of the Saarland, Department of Trauma-, Hand- and Reconstructive Surgery, Kirrberger Straße, 66421 Homburg/Saar, Germany
    • ,
  • Tim Pohlemann

      Affiliations

    • University Hospital of the Saarland, Department of Trauma-, Hand- and Reconstructive Surgery, Kirrberger Straße, 66421 Homburg/Saar, Germany
    • ,
  • Fabian Maria Stuby

      Affiliations

    • BG Trauma Centre, Eberhard Karls University of Tübingen, Schnarrenbergstraße 95, 72076 Tübingen, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 7071 606 3016.

,Accepted 8 April 2010.

References 

  1. Alonso JE, Davila R, Bradley E. Extended iliofemoral versus triradiate approaches in management of associated acetabular fractures. Clinical Orthopaedics and Related Research. 1994;305:81–87
  2. Baker SP, O’Neill B, Haddon W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. The Journal of Trauma. 1974;14:187–196
  3. Baumgaertel F. Diagnosis, classification and surgical indications in acetabulum fractures. Der Orthopade. 1992;21:427–441
  4. Borrelli J, Ricci WM, Steger-May K, et al. Postoperative radiographic assessment of acetabular fractures: a comparison of plain radiographs and CT scans. Journal of Orthopaedic Trauma. 2005;19:299–304
  5. Bosch U, Pohlemann T, Haas N, Tscherne H. Classification and management of complex pelvic trauma. Der Unfallchirurg. 1992;95:189–196
  6. Brueton RN. A review of 40 acetabular fractures: the importance of early surgery. Injury. 1993;24:171–174
  7. Carr JB, Leach PB. Small-incision surgical exposure for select fractures of the acetabulum: the gluteus maximus-splitting approach. Journal of Orthopaedic Trauma. 2006;20:573–575
  8. Cheng SL, Rosati C, Waddell JP. Fatal hemorrhage caused by vascular injury associated with an acetabular fracture. The Journal of Trauma. 1995;38:208–209
  9. de Ridder VA, de Lange S, Kingma L, Hogervorst M. Results of 75 consecutive patients with an acetabular fracture. Clinical Orthopaedics and Related Research. 1994;305:53–57
  10. Ebraheim NA, Patil V, Liu J, Haman SP. Sliding trochanteric osteotomy in acetabular fractures: a review of 30 cases. Injury. 2007;38:1177–1182
  11. Fenzl G, Fischer G, Galle P. Acetabular fractures—surgical versus conservative treatment. Unfallchirurgie. 1990;16:230–235
  12. German Pelvic Multicentre Study Group of the German Section of AO International (DAO) and the German Trauma Society (DGU), http://www.dgu-online.de/de/dgu/gruppierungen/ags/becken.jsp.
  13. Ghalambor N, Matta JM, Bernstein L. Heterotopic ossification following operative treatment of acetabular fracture. An analysis of risk factors. Clinical Orthopaedics and Related Research. 1994;305:96–105
  14. Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis. The Journal of Bone and Joint Surgery: British Volume. 2005;87:2–9
  15. Giannoudis PV, Nikolaou VS. Surgical techniques—how do I do it? Open reduction and internal fixation of posterior wall fractures of the acetabulum. Injury. 2008;39:1113–1118
  16. Gras F, Marintschev I, Mendler F, et al. 2D-fluoroscopic navigated screw osteosynthesis of acetabular fractures: a preliminary report. Zeitschrift fur Orthopadie und Unfallchirurgie. 2008;146:231–239
  17. Griffin DB, Beaule PE, Matta JM. Safety and efficacy of the extended iliofemoral approach in the treatment of complex fractures of the acetabulum. The Journal of Bone and Joint Surgery: British Volume. 2005;87:1391–1396
  18. Haas NP, Stockle UC, Hoffmann R. Acetabulum surgery. Development, current status and prospects. Zentralblatt fur Chirurgie. 1999;124:999–1003
  19. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. The Journal of Bone and Joint Surgery. 1969;51:737–755
  20. Hesp WL, Goris RJ. Conservative treatment of fractures of the acetabulum. Results after longtime follow-up. Acta Chirurgica Belgica. 1988;88:27–32
  21. Hoffmann R, Stockle U, Nittinger M, et al. Operative treatment of complex acetabular fractures through the modified extensile iliofemoral approach. Der Unfallchirurg. 2000;103:12–21
  22. Im GI, Shin YW, Song YJ. Fractures to the posterior wall of the acetabulum managed with screws alone. The Journal of Trauma. 2005;58:300–303
  23. Jakob M, Droeser R, Zobrist R, et al. A less invasive anterior intrapelvic approach for the treatment of acetabular fractures and pelvic ring injuries. The Journal of Trauma. 2006;60:1364–1370
  24. Jimenez ML, Vrahas MS. Surgical approaches to the acetabulum. The Orthopedic Clinics of North America. 1997;28:419–434
  25. Judet R, Judet J, Letournel E. Fractures of the acetabulum. Acta Orthopaedica Belgica. 1964;30:285–293
  26. Kreder HJ, Rozen N, Borkhoff CM, et al. Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall. The Journal of Bone and Joint Surgery: British Volume. 2006;88:776–782
  27. Kumar A, Shah NA, Kershaw SA, Clayson AD. Operative management of acetabular fractures. A review of 73 fractures. Injury. 2005;36:605–612
  28. Laird A, Keating JF. Acetabular fractures: a 16-year prospective epidemiological study. The Journal of Bone and Joint Surgery: British Volume. 2005;87:969–973
  29. Letournel E. Acetabulum fractures: classification and management. Clinical Orthopaedics and Related Research. 1980;151:81–106
  30. Letournel E. The treatment of acetabular fractures through the ilioinguinal approach. Clinical Orthopaedics and Related Research. 1993;292:62–76
  31. Madhu R, Kotnis R, Al-Mousawi A, et al. Outcome of surgery for reconstruction of fractures of the acetabulum. The time dependent effect of delay. The Journal of Bone and Joint Surgery: British Volume. 2006;88:1197–1203
  32. Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. The Journal of Bone and Joint Surgery. 1996;78:1632–1645
  33. Matta JM. Operative treatment of acetabular fractures through the ilioinguinal approach. A 10-year perspective. Clinical Orthopaedics and Related Research. 1994;305:10–19
  34. Matta JM, Anderson LM, Epstein HC, Hendricks P. Fractures of the acetabulum. A retrospective analysis. Clinical Orthopaedics and Related Research. 1986;205:230–240
  35. Matta JM, Mehne DK, Roffi R. Fractures of the acetabulum. Early results of a prospective study. Clinical Orthopaedics and Related Research. 1986;205:241–250
  36. Matta JM, Merritt PO. Displaced acetabular fractures. Clinical Orthopaedics and Related Research. 1988;230:83–97
  37. Mayo KA. Open reduction and internal fixation of fractures of the acetabulum. Results in 163 fractures. Clinical Orthopaedics and Related Research. 1994;305:31–37
  38. Mayr E, Braun W, Kogl F, Ruter A. Approach-related results following acetabular fractures. Der Orthopade. 1997;26:384–393
  39. Mears DC, Velyvis JH, Chang CP. Displaced acetabular fractures managed operatively: indicators of outcome. Clinical Orthopaedics and Related Research. 2003;407:173–186
  40. Moed BR, Carr SE, Gruson KI, et al. Computed tomographic assessment of fractures of the posterior wall of the acetabulum after operative treatment. The Journal of Bone and Joint Surgery. 2003;85A:512–522
  41. Moed BR, WillsonCarr SE, Watson JT. Results of operative treatment of fractures of the posterior wall of the acetabulum. The Journal of Bone and Joint Surgery. 2002;84-A:752–758
  42. Moed BR, Yu PH, Gruson KI. Functional outcomes of acetabular fractures. The Journal of Bone and Joint Surgery. 2003;85-A:1879–1883
  43. Murphy D, Kaliszer M, Rice J, McElwain JP. Outcome after acetabular fracture. Prognostic factors and their inter-relationships. Injury. 2003;34:512–517
  44. Oestern HJ, Tscherne H, Sturm J, Nerlich M. Classification of the severity of injury. Der Unfallchirurg. 1985;88:465–472
  45. Phillips TJ, Jeffcote B, Collopy D. Bilateral Morel–Lavallee lesions after complex pelvic trauma: a case report. The Journal of Trauma. 2008;65:708–711
  46. Pohlemann T, Culemann U. Summary of controversial debates during the 5th “Homburg Pelvic Course” 13–15 September 2006. Injury. 2007;38:424–430
  47. Pohlemann T, Tosounidis G, Bircher M, et al. The German Multicentre Pelvis Registry: a template for an European Expert Network?. Injury. 2007;38:416–423
  48. Ponsen KJ, Joosse P, Schigt A, et al. Internal fracture fixation using the Stoppa approach in pelvic ring and acetabular fractures: technical aspects and operative results. The Journal of Trauma. 2006;61:662–667
  49. Ragnarsson B, Mjoberg B. Arthrosis after surgically treated acetabular fractures. A retrospective study of 60 cases. Acta Orthopaedica Scandinavica. 1992;63:511–514
  50. Reinert CM, Bosse MJ, Poka A, et al. A modified extensile exposure for the treatment of complex or malunited acetabular fractures. The Journal of Bone and Joint Surgery. 1988;70:329–337
  51. Rice J, Kaliszer M, Dolan M, et al. Comparison between clinical and radiologic outcome measures after reconstruction of acetabular fractures. Journal of Orthopaedic Trauma. 2002;16:82–86
  52. Rommens PM, Broos PL, Vanderschot P. Preparation and technique for surgical treatment of 225 acetabulum fractures. 2 year results of 175 cases. Der Unfallchirurg. 1997;100:338–348
  53. Rommens PM, Gimenez MV, Hessmann M. Posterior wall fractures of the acetabulum: characteristics, management, prognosis. Acta Chirurgica Belgica. 2001;101:287–293
  54. Rommens PM, Hessmann MH. Acetabulum fractures. Der Unfallchirurg. 1999;102:591–610
  55. Saterbak AM, Marsh JL, Nepola JV, et al. Clinical failure after posterior wall acetabular fractures: the influence of initial fracture patterns. Journal of Orthopaedic Trauma. 2000;14:230–237
  56. Stockle U, Hoffmann R, Sudkamp NP, et al. Treatment of complex acetabular fractures through a modified extended iliofemoral approach. Journal of Orthopaedic Trauma. 2002;16:220–230
  57. Weber TG, Mast JW. The extended ilioinguinal approach for specific both column fractures. Clinical Orthopaedics and Related Research. 1994;305:106–111
  58. Weise K, Weller S. Conservative therapy of acetabular fractures—indications and results. Aktuelle Traumatologie. 1987;17:277–283
  59. Wolf H, Wieland T, Pajenda G, et al. Minimally invasive ilioinguinal approach to the acetabulum. Injury. 2007;38:1170–1176
  60. Yu JK, Chiu FY, Feng CK, et al. Surgical treatment of displaced fractures of posterior column and posterior wall of the acetabulum. Injury. 2004;35:766–770
  61. Zeichen J, Pohlemann T, Gansslen A, et al. Results of follow-up of surgical treatment of complicated acetabulum fractures with extended approaches. Der Unfallchirurg. 1995;98:361–368

PII: S0020-1383(10)00262-7

doi: 10.1016/j.injury.2010.04.010

Injury
Volume 41, Issue 8 , Pages 839-851 , August 2010

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