Acetabular fractures in elderly
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Park, Ki Chul | - |
dc.contributor.author | Oh, Chang-Wug | - |
dc.contributor.author | Kim, Joon-Woo | - |
dc.contributor.author | Oh, Hyoung Keun | - |
dc.contributor.author | Shon, Hyun Chul | - |
dc.contributor.author | Kim, Jung Jae | - |
dc.contributor.author | Kim, Ji Wan | - |
dc.date.accessioned | 2023-05-03T14:24:29Z | - |
dc.date.available | 2023-05-03T14:24:29Z | - |
dc.date.created | 2022-01-26 | - |
dc.date.issued | 2023-03 | - |
dc.identifier.issn | 0949-2658 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/185426 | - |
dc.description.abstract | Background: This study aimed to determine characteristics of acetabular fractures in the elderly by evaluating clinical course and computed tomography-based radiological features between low- and high-energy acetabular fractures. Methods: We reviewed 178 consecutive patients with acetabular fractures aged ≥60 years from six centers. Low-energy fractures (group 1) were identified in 23 (12.9%) patients and high-energy fractures (group 2) in 155 (87.1%) patients. We compared demographics, radiological findings, and clinical course between the groups. Results: Average age (70.6 vs. 67.8 years, p = 0.046) and ratio of females (47.8% vs. 23.2%, p = 0.021) were significantly higher in group 1 than in group 2. The Charlson comorbidity index was also higher in group 1, but no other demographics showed difference. More patients in group 2 than in group 1 underwent surgery (91.6% vs. 73.9%); however, more in group 1 underwent minimally invasive surgery (17.4% vs 4.5%). Anterior column-associated fracture patterns occurred in 91.4% and 38.7% of cases in groups 1 and 2, respectively. Most fractures were displaced (>2 mm); 68% of which were comminuted. Furthermore, 24.2% of the fractures had superior dome impaction, whereas 23.0% were associated with posterior wall impaction. Conclusions: Patients who sustained low-energy acetabular fractures were mostly women, were older, and had more comorbidities. Radiological findings of low-energy acetabular fractures showed anterior column involvement associated with injury to the quadrilateral surface. Additionally, it was observed to be commonly combined with comminution and impacted fragments. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER | - |
dc.title | Acetabular fractures in elderly | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Ki Chul | - |
dc.identifier.doi | 10.1016/j.jos.2021.12.004 | - |
dc.identifier.scopusid | 2-s2.0-85122125112 | - |
dc.identifier.wosid | 000951427500001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ORTHOPAEDIC SCIENCE, v.28, no.2, pp.376 - 379 | - |
dc.relation.isPartOf | JOURNAL OF ORTHOPAEDIC SCIENCE | - |
dc.citation.title | JOURNAL OF ORTHOPAEDIC SCIENCE | - |
dc.citation.volume | 28 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 376 | - |
dc.citation.endPage | 379 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | HIP FRACTURE | - |
dc.subject.keywordPlus | NATIONWIDE | - |
dc.subject.keywordPlus | PROBABILITY | - |
dc.subject.keywordPlus | MECHANISMS | - |
dc.subject.keywordPlus | FINLAND | - |
dc.subject.keywordPlus | DECLINE | - |
dc.subject.keywordPlus | WOMEN | - |
dc.subject.keywordPlus | OLDER | - |
dc.subject.keywordPlus | MEN | - |
dc.subject.keywordPlus | CT | - |
dc.identifier.url | https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0949265821003894?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0949265821003894%3Fshowall%3Dtrue&referrer= | - |
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