این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
The Archives of Bone and Joint Surgery، جلد ۵، شماره ۲، صفحات ۹۶-۱۰۲
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Acetabular Fractures in the Senior Population– Epidemiology, Mortality and Treatments
چکیده انگلیسی مقاله Background:Management of acetabular fractures in the senior population can be one of the most challenging injuries tomanage. Furthermore, treating surgeons have a paucity of information to guide the treatment in this patient population.The purpose of this study was to determine: (1) demographic and epidemiologic data, (2) mortality rates for nonoperativecompared to operative management at different time points, (3) common fracture configurations, and (4) fracture fixationstrategies in senior patients treated with acetabular fractures.Methods:Retrospective review of prospectively gathered data at a Level I trauma center over a five-year period. 1123acetabular fractures were identified. 156 of them were for patients over the age of 65 (average age of 78).Results:Falls and motor vehicle accidents accounted for the two most common mechanisms of injury. 82% of patientshad significant medical comorbidities. 51 patients (33%) died within one year, in which 75% of them died within 90 daysof their acetabular fracture. 84% of the deceased patients, i.e. from the group of 51 patients, had non-operative treatment.For patients treated with traction alone, there was a 79% one-year mortality and 50% mortality rate within 90 days. Withinthe entire cohort, 70% had either an associated both-column (ABC) or anterior column/posterior hemitransverse (AC/PHT)fracture pattern. Fifty-seven patients (36.5%) underwent open reduction and internal fixation using standard reductiontechniques and surgical implants via two main surgical exposures of ilioinguinal (69%) and Kocher-Langenbeck (29%).Conclusion:Geriatric patients with acetabular fractures are uncommon accounting for only 14% of all acetabularfractures. Patients who undergo surgery show lower mortality rates. ABC and AC/PHT fracture patterns are the two mostcommon fracture patterns. Routine fixation constructs and implants can be used to manage these challenging fractures.Most patients are unable to return to their homes and instead require skilled nursing facility during their convalescence.
کلیدواژه‌های انگلیسی مقاله Acetabular fractures, Geriatric patient, Outcomes, Senior
نویسندگان مقاله رضا فیروزآبادی | reza firoozabadi
harborview medical center, university of washington, seattle, wa, usa


ویلیام w cross iii | william w cross iii
mayo clinic, 201 w. center st. rochester, mn, usa


جیمز c krieg | james c krieg
thomas jefferson university, 925 chestnut street, philadelphia, pa, usa


میلتون l “chip” routt jr | milton l “chip” routt jr
university of texas, 6414 fannin, suite g150, houston, tx, usa
نشانی اینترنتی http://abjs.mums.ac.ir/article_7933.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-331909.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده RESEARCH PAPER
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات