Fractures of the acetabulum in patients aged 60 years and older: An epidemiological and radiological study

T. A. Ferguson, R. Patel, M. Bhandari, J. M. Matta

Research output: Contribution to journalArticle

152 Citations (Scopus)

Abstract

Using a prospective database of 1309 displaced acetabular fractures gathered between 1980 and 2007, we calculated the annual mean age and annual incidence of elderly patients > 60 years of age presenting with these injuries. We compared the clinical details and patterns of fracture between patients > 60 years of age (study group) with those < 60 years (control group). We performed a detailed evaluation of the radiographs of the older group to determine the incidence of radiological characteristics which have been previously described as being associated with a poor patient outcome. In all, 235 patients were > 60 years of age and the remaining 1074 were < 60 years. The incidence of elderly patients with acetabular fractures increased by 2.4-fold between the first half of the study period and the second half (10% (62) vs 24% (174), p < 0.001). Fractures characterised by displacement of the anterior column were significantly more common in the elderly compared with the younger patients (64% (150) vs 43% (462), respectively, p < 0.001). Common radiological features of the fractures in the study group included a separate quadrilateral-plate component (50.8% (58)) and roof impaction (40% (46)) in the anterior fractures, and comminution (44% (30)) and marginal impaction (38% (26)) in posterior-wall fractures. The proportion of elderly patients presenting with acetabular fractures increased during the 27-year period. The older patients had a different distribution of fracture pattern than the younger patients, and often had radiological features which have been shown in other studies to be predictive of a poor outcome.

Original languageEnglish (US)
Pages (from-to)250-257
Number of pages8
JournalJournal of Bone and Joint Surgery - Series B
Volume92
Issue number2
DOIs
StatePublished - Feb 2010

Fingerprint

Acetabulum
Epidemiologic Studies
Incidence
Age Groups
Databases
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Fractures of the acetabulum in patients aged 60 years and older : An epidemiological and radiological study. / Ferguson, T. A.; Patel, R.; Bhandari, M.; Matta, J. M.

In: Journal of Bone and Joint Surgery - Series B, Vol. 92, No. 2, 02.2010, p. 250-257.

Research output: Contribution to journalArticle

Ferguson, T. A. ; Patel, R. ; Bhandari, M. ; Matta, J. M. / Fractures of the acetabulum in patients aged 60 years and older : An epidemiological and radiological study. In: Journal of Bone and Joint Surgery - Series B. 2010 ; Vol. 92, No. 2. pp. 250-257.
@article{a21a29bc3b1c481a9a2520cfe00e85a6,
title = "Fractures of the acetabulum in patients aged 60 years and older: An epidemiological and radiological study",
abstract = "Using a prospective database of 1309 displaced acetabular fractures gathered between 1980 and 2007, we calculated the annual mean age and annual incidence of elderly patients > 60 years of age presenting with these injuries. We compared the clinical details and patterns of fracture between patients > 60 years of age (study group) with those < 60 years (control group). We performed a detailed evaluation of the radiographs of the older group to determine the incidence of radiological characteristics which have been previously described as being associated with a poor patient outcome. In all, 235 patients were > 60 years of age and the remaining 1074 were < 60 years. The incidence of elderly patients with acetabular fractures increased by 2.4-fold between the first half of the study period and the second half (10{\%} (62) vs 24{\%} (174), p < 0.001). Fractures characterised by displacement of the anterior column were significantly more common in the elderly compared with the younger patients (64{\%} (150) vs 43{\%} (462), respectively, p < 0.001). Common radiological features of the fractures in the study group included a separate quadrilateral-plate component (50.8{\%} (58)) and roof impaction (40{\%} (46)) in the anterior fractures, and comminution (44{\%} (30)) and marginal impaction (38{\%} (26)) in posterior-wall fractures. The proportion of elderly patients presenting with acetabular fractures increased during the 27-year period. The older patients had a different distribution of fracture pattern than the younger patients, and often had radiological features which have been shown in other studies to be predictive of a poor outcome.",
author = "Ferguson, {T. A.} and R. Patel and M. Bhandari and Matta, {J. M.}",
year = "2010",
month = "2",
doi = "10.1302/0301-620X.92B2.22488",
language = "English (US)",
volume = "92",
pages = "250--257",
journal = "Bone and Joint Journal",
issn = "2049-4394",
publisher = "British Editorial Society of Bone and Joint Surgery",
number = "2",

}

TY - JOUR

T1 - Fractures of the acetabulum in patients aged 60 years and older

T2 - An epidemiological and radiological study

AU - Ferguson, T. A.

AU - Patel, R.

AU - Bhandari, M.

AU - Matta, J. M.

PY - 2010/2

Y1 - 2010/2

N2 - Using a prospective database of 1309 displaced acetabular fractures gathered between 1980 and 2007, we calculated the annual mean age and annual incidence of elderly patients > 60 years of age presenting with these injuries. We compared the clinical details and patterns of fracture between patients > 60 years of age (study group) with those < 60 years (control group). We performed a detailed evaluation of the radiographs of the older group to determine the incidence of radiological characteristics which have been previously described as being associated with a poor patient outcome. In all, 235 patients were > 60 years of age and the remaining 1074 were < 60 years. The incidence of elderly patients with acetabular fractures increased by 2.4-fold between the first half of the study period and the second half (10% (62) vs 24% (174), p < 0.001). Fractures characterised by displacement of the anterior column were significantly more common in the elderly compared with the younger patients (64% (150) vs 43% (462), respectively, p < 0.001). Common radiological features of the fractures in the study group included a separate quadrilateral-plate component (50.8% (58)) and roof impaction (40% (46)) in the anterior fractures, and comminution (44% (30)) and marginal impaction (38% (26)) in posterior-wall fractures. The proportion of elderly patients presenting with acetabular fractures increased during the 27-year period. The older patients had a different distribution of fracture pattern than the younger patients, and often had radiological features which have been shown in other studies to be predictive of a poor outcome.

AB - Using a prospective database of 1309 displaced acetabular fractures gathered between 1980 and 2007, we calculated the annual mean age and annual incidence of elderly patients > 60 years of age presenting with these injuries. We compared the clinical details and patterns of fracture between patients > 60 years of age (study group) with those < 60 years (control group). We performed a detailed evaluation of the radiographs of the older group to determine the incidence of radiological characteristics which have been previously described as being associated with a poor patient outcome. In all, 235 patients were > 60 years of age and the remaining 1074 were < 60 years. The incidence of elderly patients with acetabular fractures increased by 2.4-fold between the first half of the study period and the second half (10% (62) vs 24% (174), p < 0.001). Fractures characterised by displacement of the anterior column were significantly more common in the elderly compared with the younger patients (64% (150) vs 43% (462), respectively, p < 0.001). Common radiological features of the fractures in the study group included a separate quadrilateral-plate component (50.8% (58)) and roof impaction (40% (46)) in the anterior fractures, and comminution (44% (30)) and marginal impaction (38% (26)) in posterior-wall fractures. The proportion of elderly patients presenting with acetabular fractures increased during the 27-year period. The older patients had a different distribution of fracture pattern than the younger patients, and often had radiological features which have been shown in other studies to be predictive of a poor outcome.

UR - http://www.scopus.com/inward/record.url?scp=76149141832&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=76149141832&partnerID=8YFLogxK

U2 - 10.1302/0301-620X.92B2.22488

DO - 10.1302/0301-620X.92B2.22488

M3 - Article

C2 - 20130318

AN - SCOPUS:76149141832

VL - 92

SP - 250

EP - 257

JO - Bone and Joint Journal

JF - Bone and Joint Journal

SN - 2049-4394

IS - 2

ER -