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Quality of Life After Operative Fixation of Displaced Acetabular Fractures
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
2012 (engelsk)Inngår i: Journal of Orthopaedic Trauma, ISSN 0890-5339, E-ISSN 1531-2291, Vol. 26, nr 8, s. 445-450Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: The aim of this study was to determine quality of life (QoL) changes over time after internal fixation of acetabular fractures.

Design: This pertains to a prospective cohort study, which was single centered.

Setting: The study was conducted at the University Hospital.

Patients: One hundred thirty-six patients (108 men, 28 women), age 17-83 years operated for an acetabular fracture during 2004-2008 were prospectively included and followed up for 2 years.

Main Outcome Measures: QoL was evaluated via Short Form-36 (SF-36) and Life Satisfaction-11 at 6, 12, and 24 months. Radiographs were evaluated according to Matta at 2 years.

Results: The most frequent fracture types were posterior wall (n31), associated anterior-posterior hemitransverse (n34), and associated both column (n29). One hundred twenty-nine patients could be assessed at 2 years, 4 did not respond, and 3 had died. The patients scored lower than norms in all 8 SF-36 domains with improvement over time for Physical Function (P < 0.0001) and Role Physical (P < 0.0001). The patients with postop reduction 0-1 mm scored better (P < 0.001-0.039) in 7 domains, all except vitality (P = 0.07), when compared with patients with residual displacement of >= 2 mm. Life satisfaction did not change with time and showed lower scores than normative in 9 of 11 items. Nineteen patients had undergone total hip replacement, and the strongest predictor was acetabular or femoral head impaction.

Conclusions: QoL in surgically treated patients with displaced acetabular fracture keeps improving in physical SF-36 domains over a 2-year period although still lower than norms, and anatomical reduction results in better QoL outcome in most dimensions.

sted, utgiver, år, opplag, sider
2012. Vol. 26, nr 8, s. 445-450
Emneord [en]
acetabulum, fracture, surgery, quality of life, life satisfaction, SF-36, LiSat-11
HSV kategori
Identifikatorer
URN: urn:nbn:se:uu:diva-179915DOI: 10.1097/BOT.0b013e31824c07cbISI: 000306687200007OAI: oai:DiVA.org:uu-179915DiVA, id: diva2:547207
Tilgjengelig fra: 2012-08-27 Laget: 2012-08-27 Sist oppdatert: 2017-12-07bibliografisk kontrollert

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