Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes
Closed reduction and percutaneous internal fixation (CRPIF) for acetabular fractures was introduced as a less invasive alternative to open reduction and internal fixation (ORIF) for moderately displaced fractures. Currently, comparisons of ORIF and CRPIF outcomes are rare. Twenty-three patients trea...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/3/1163 |
| _version_ | 1797624075262099456 |
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| author | Stephanie Einhorn Andreas Höch Georg Osterhoff Christoph Josten Christian Kleber Philipp Pieroh |
| author_facet | Stephanie Einhorn Andreas Höch Georg Osterhoff Christoph Josten Christian Kleber Philipp Pieroh |
| author_sort | Stephanie Einhorn |
| collection | DOAJ |
| description | Closed reduction and percutaneous internal fixation (CRPIF) for acetabular fractures was introduced as a less invasive alternative to open reduction and internal fixation (ORIF) for moderately displaced fractures. Currently, comparisons of ORIF and CRPIF outcomes are rare. Twenty-three patients treated with CRPIF were matched with patients treated with ORIF based on sex, age, and fracture classification. Surgery-dependent and -independent factors of the in-hospital stay, the conversion rate to total hip arthroplasty (THA), and quality of life were assessed. The ORIF group had a higher preoperative fracture step (<i>p</i> = 0.04) and gull wing sign (<i>p</i> = 0.003) compared with the CRPIF group. Postoperatively, the gap and step size were not significantly different between the groups (<i>p</i> > 0.05). CRPIF required less time (<i>p</i> < 0.0001) and transfusions (<i>p</i> = 0.009) and showed fewer complications (<i>p</i> = 0.0287). Four patients were converted to THA (CRPIF, <i>n</i> = 1; ORIF, <i>n</i> = 3; <i>p</i> = 0.155) because of posttraumatic osteoarthritis. Functional outcomes and pain were similar in both groups (<i>p</i> > 0.05). The present study revealed less blood loss and a lesser extent of reduction in patients treated with CRPIF than in those treated with ORIF. The rates of conversion to THA and functional outcomes did not differ between CRPIF and ORIF. CRPIF appeared to be a valuable treatment option for selected patients. |
| first_indexed | 2024-03-11T09:38:11Z |
| format | Article |
| id | doaj.art-a8afe2b70652492b9ea1bf9b648d005a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:38:11Z |
| publishDate | 2023-02-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a8afe2b70652492b9ea1bf9b648d005a2023-11-16T17:12:38ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01123116310.3390/jcm12031163Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional OutcomesStephanie Einhorn0Andreas Höch1Georg Osterhoff2Christoph Josten3Christian Kleber4Philipp Pieroh5Department of Orthopedics, Trauma and Plastic Surgery, University Leipzig, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Orthopedics, Trauma and Plastic Surgery, University Leipzig, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Orthopedics, Trauma and Plastic Surgery, University Leipzig, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Orthopedics, Trauma and Plastic Surgery, University Leipzig, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Orthopedics, Trauma and Plastic Surgery, University Leipzig, Liebigstrasse 20, 04103 Leipzig, GermanyDepartment of Orthopedics, Trauma and Plastic Surgery, University Leipzig, Liebigstrasse 20, 04103 Leipzig, GermanyClosed reduction and percutaneous internal fixation (CRPIF) for acetabular fractures was introduced as a less invasive alternative to open reduction and internal fixation (ORIF) for moderately displaced fractures. Currently, comparisons of ORIF and CRPIF outcomes are rare. Twenty-three patients treated with CRPIF were matched with patients treated with ORIF based on sex, age, and fracture classification. Surgery-dependent and -independent factors of the in-hospital stay, the conversion rate to total hip arthroplasty (THA), and quality of life were assessed. The ORIF group had a higher preoperative fracture step (<i>p</i> = 0.04) and gull wing sign (<i>p</i> = 0.003) compared with the CRPIF group. Postoperatively, the gap and step size were not significantly different between the groups (<i>p</i> > 0.05). CRPIF required less time (<i>p</i> < 0.0001) and transfusions (<i>p</i> = 0.009) and showed fewer complications (<i>p</i> = 0.0287). Four patients were converted to THA (CRPIF, <i>n</i> = 1; ORIF, <i>n</i> = 3; <i>p</i> = 0.155) because of posttraumatic osteoarthritis. Functional outcomes and pain were similar in both groups (<i>p</i> > 0.05). The present study revealed less blood loss and a lesser extent of reduction in patients treated with CRPIF than in those treated with ORIF. The rates of conversion to THA and functional outcomes did not differ between CRPIF and ORIF. CRPIF appeared to be a valuable treatment option for selected patients.https://www.mdpi.com/2077-0383/12/3/1163acetabular fracturesclosed reduction and percutaneous internal fixationtotal hip arthroplasty |
| spellingShingle | Stephanie Einhorn Andreas Höch Georg Osterhoff Christoph Josten Christian Kleber Philipp Pieroh Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes Journal of Clinical Medicine acetabular fractures closed reduction and percutaneous internal fixation total hip arthroplasty |
| title | Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes |
| title_full | Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes |
| title_fullStr | Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes |
| title_full_unstemmed | Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes |
| title_short | Comparison of Percutaneous Screw Fixation to Open Reduction and Internal Fixation in Acetabular Fractures: A Matched Pair Study Regarding the Short-Term Rate of Conversion to Total Hip Arthroplasty and Functional Outcomes |
| title_sort | comparison of percutaneous screw fixation to open reduction and internal fixation in acetabular fractures a matched pair study regarding the short term rate of conversion to total hip arthroplasty and functional outcomes |
| topic | acetabular fractures closed reduction and percutaneous internal fixation total hip arthroplasty |
| url | https://www.mdpi.com/2077-0383/12/3/1163 |
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