@article{2811e3f1af484a88b3eb23f45b411448,
title = "Functional outcomes of elderly patients with nonoperatively treated acetabular fractures that meet operative criteria",
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.",
keywords = "Acetabular fractures, Elderly patient population, Nonoperative treatment",
author = "Ryan, {Scott P.} and Manson, {Theodore T.} and Sciadini, {Marcus F.} and Nascone, {Jason W.} and LeBrun, {Christopher T.} and Castillo, {Renan C.} and Ragu Muppavarapu and Brian Schurko and O'Toole, {Robert V.}",
note = "Funding Information: S. P. Ryan receives payment for consultancy from Globus Medical. In the past, he has received payment for lectures from Smith & Nephew. T. T. Manson receives payment for consultancy from Globus Medical and Stryker Orthopaedics, payment for expert testimony from various law firms, and payment for lectures from Maine Orthopaedic Review. He and his institution have a grant from the Patient-Centered Outcomes Research Institute. M. F. Sciadini received payment for consultancy from Stryker Orthopaedics and Globus Medical. His institution has a grant from the Foundation for Orthopaedic Trauma. J. W. Nascone receives payment for consultancy from Smith & Nephew and DePuy Synthes, royalties from DePuy Synthes and CoorsTek, and travel expenses from AO North America. R. V. O{\textquoteright}Toole receives payment for consultancy from Smith & Nephew and CoorsTek and royalties from CoorsTek. All of these payments are unrelated to this study. The remaining authors report no conflict of interest. Publisher Copyright: {\textcopyright} Copyright 2017 Wolters Kluwer Health, Inc. All rights reserved.",
year = "2017",
doi = "10.1097/BOT.0000000000000990",
language = "English (US)",
volume = "31",
pages = "644--649",
journal = "Journal of orthopaedic trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",
number = "12",
}