Functional outcomes of elderly patients with nonoperatively treated acetabular fractures that meet operative criteria

Scott P. Ryan, Theodore T. Manson, Marcus F. Sciadini, Jason W. Nascone, Christopher T. LeBrun, Renan Carlos Castillo, Ragu Muppavarapu, Brian Schurko, Robert V. O'Toole

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)644-649
Number of pages6
JournalJournal of Orthopaedic Trauma
Volume31
Issue number12
DOIs
StatePublished - Jan 1 2017

Keywords

  • Acetabular fractures
  • Elderly patient population
  • Nonoperative treatment

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Ryan, S. P., Manson, T. T., Sciadini, M. F., Nascone, J. W., LeBrun, C. T., Castillo, R. C., Muppavarapu, R., Schurko, B., & O'Toole, R. V. (2017). Functional outcomes of elderly patients with nonoperatively treated acetabular fractures that meet operative criteria. Journal of Orthopaedic Trauma, 31(12), 644-649. https://doi.org/10.1097/BOT.0000000000000990