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- Talk
- Canada
Assessing Outcome Following Open Reduction Internal Fixation of Acetabular Fractures in the Elderly
Description
The presentation features Ethan Sanders, a third-year medical student from the University of Toronto, discussing the rising incidences of acetabular fractures among the elderly. He highlights the complexity of fractures in older patients due to poor bone quality, and presents management options such as non-operative management, Open Reduction Internal Fixation (ORIF), Total Hip Arthroplasty (THA), and combined ORIF-THA. Ethan reviews a retrospective study involving 94 patients over twelve years, outlining the criteria and methods used for assessment, including detailed radiological evaluations and outcome measures like mortality and complications.
He discusses the outcomes of patients receiving ORIF, where 73% achieved good results after four years, but notes a significant conversion rate to THA in some cases. The study also assessed outcome predictors and found that the Matta Grade of reduction was significant. Comparisons showed that while no significant difference existed in complications between the two management strategies, patients with anatomically reduced hips experienced better outcomes. The conclusion emphasizes the importance of the Matta Grade in determining whether to proceed with ORIF or the combined approach, with a recommendation for either surgical strategy based on the feasibility of anatomical reduction.