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Results of 167 consecutive cases of acetabular fractures using the Kocher-Langenbeck approach: a case series

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, April 2017
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Title
Results of 167 consecutive cases of acetabular fractures using the Kocher-Langenbeck approach: a case series
Published in
Journal of Orthopaedic Surgery and Research, April 2017
DOI 10.1186/s13018-017-0563-6
Pubmed ID
Authors

Lukas L. Negrin, David Seligson

Abstract

Acetabular fractures are quite challenging injuries for the orthopedic surgeon because of their low incidence and their deep and complex anatomy. The objective of this study was to evaluate surgeon-independent parameters that might influence radiographic outcome and early complication rates of high-energy acetabular fractures treated by open reduction and internal fixation via the Kocher-Langenbeck approach, the golden standard for posterior access. One hundred sixty-seven consecutive patients (111 males and 56 females) with a mean age of 41.8 years and a mean follow-up period of 10 months were surgically treated by one experienced surgeon at a level I trauma center within 10 years. To quantify the radiographic outcome, the Matta, Brooker, and Epstein grades were used. Posttraumatic arthritis and avascular necrosis of the femoral head (defined as Helfet grades 3 or 4 and Ficat/Arlet stages 3 or 4, respectively) were evaluated. Furthermore, subgroup analyses according to fracture type, age, and gender were performed for each outcome measure and complication (infection, hemorrhagic shock, revision surgery, nerve damage, and need of a total hip arthroplasty). 65 A1, 34 A2, 51 B1, and 17 B2 fractures were identified according to the AO/ASIF classification. Of all patients, reduction was rated anatomic in 63.5%, imperfect in 22.2%, and poor in 14.4%. Degenerative changes were observed in 49.7%; 37.9% were affected by heterotopic ossification, 21.6% by posttraumatic arthritis, and 5.4% by avascular necrosis of the femoral head. Fifteen percent were diagnosed with a nerve damage, and 4.8% sustained an infection. Total hip arthroplasty was performed in 10.2%. Revision surgery due to secondary loss of reduction, seroma/hematoma, and wound infection was indicated in 6.0%. Fracture type, age, and gender are prognostic factors for the surgical outcome after ORIF of high-energy acetabular fractures.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 48 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 17%
Student > Doctoral Student 7 15%
Student > Postgraduate 6 13%
Student > Bachelor 4 8%
Researcher 4 8%
Other 10 21%
Unknown 9 19%
Readers by discipline Count As %
Medicine and Dentistry 30 63%
Computer Science 2 4%
Unspecified 1 2%
Business, Management and Accounting 1 2%
Arts and Humanities 1 2%
Other 3 6%
Unknown 10 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 April 2017.
All research outputs
#16,542,034
of 20,568,640 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#819
of 1,238 outputs
Outputs of similar age
#209,308
of 281,052 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#1
of 1 outputs
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