A New Decisional Tree for the Management of Acetabular Fractures : Monocentric Observational Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 250
- Locations
- 1
- Primary Endpoint
- The main objective of the study is to evaluate and compare the results of a decision tree for the management of acetabulum fractures (also called acetabulum) in a large cohort of patients from the trauma center at Grenoble University Hospital
Study Overview
Brief Summary
Acetabular fractures are challenging fractures to treat. Many fracture patterns occur, in a deep anatomical area surrounded by numerous vascular and nervous elements, generally in a polytraumatic context . A reduction with less than 2 mm of incongruence is generally considered acceptable, limiting post-operative osteoarthritis that could rapidly require total hip arthroplasty. Due to the long learning curve, this surgery is limited to large reference centers
. In the last twenty years, the main series published in the literature are small series due to the rarity of the fractures and their trauma context (loss of follow-up, polytrauma patients…). The large variety of fracture patterns according to the Letournel classification creates a spread in patient distribution and decreases the power of statistical analysis. That is the reason why big series are rare and only a few of them allow significant conclusions . The other studies are meta-analyses with their limitations
The lack of consensus makes it difficult to interpret the results between series, so the investigators developed a decision tree to address this knowledge gap.
The aim of this study is to assess and compare the results of a decisional tree for acetabular fracture in a large cohort of patients from a well-known experimental trauma center.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Other
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult patient at the time of injury
- •Acetabular fracture
- •Pre-operative standard X-ray image
- •Pre-operative CT image
- •Post-operative X-ray standard image (AP-alar and obturator views)
- •Post-operative CT scan.
- •Willingness and ability to participate in the study
Exclusion Criteria
- •Ipsilateral fracture femoral and/or associated pelvic ring fracture (Floating Hip C or B)
- •Pregnant, lactating women
- •Subject under administrative or judicial supervision
Arms & Interventions
patients managed for Acetabular fracture
collect the data for all the patients managed and operated on between 01/01/2020 AND 31/01/2022 for Acetabular fracture
Outcomes
Primary Outcomes
The main objective of the study is to evaluate and compare the results of a decision tree for the management of acetabulum fractures (also called acetabulum) in a large cohort of patients from the trauma center at Grenoble University Hospital
Time Frame: 1 year
Clinical results according to the Postel-Merle d'Aubigné score (PMA)
Secondary Outcomes
- Propose a new assessment of the traumatic hip joint based on PROMs (Patient Reported Outcomes Measures) via a dedicated digital application (Orthense by Digikare)(1 year)
- Evaluation of Outcomes and Complications of Early Weight Bearing in Older Adults(1 year)
- Define the prognostic factors associated with poor clinical outcomes and total hip replacement surgery(1 year)
- Compare clinical and radiological findings with the literature(1 year)
