Journal article
Operative Treatment of Acetabular Fractures in the Medicare Population
Orthopedics (Thorofare, N.J.), v 36(8), pp E1065-E1070
01 Aug 2013
PMID: 23937755
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The purpose of this study was to determine the incidence of and evaluate the risk for complications and mortality following open treatment of acetabular fractures in the Medicare population. Patients treated with open reduction and internal fixation (ORIF) for acetabular fractures were identified using current procedural terminology codes in a 5% national sample of Medicare records. Complications within 90 days and within 1 year were evaluated based on the presence of ICD-9-CM diagnosis codes and Current Procedural Terminology reoperation codes. A total of 1286 fractures were treated closed and 359 were treated with ORIF. Multivariate Cox regression was performed to compare complication rates and risk factors. The incidence of acetabular fractures in the Medicare population has increased by 29% since 1998. Complications in the ORIF group included cardiac complications, deep venous thrombosis, infection, pulmonary embolism, refixation, and conversion to total hip arthroplasty. Risk factors for complications with ORIF included advanced age and comorbidities. Mortality in the ORIF group was 14.4% at 1 year. The incidence of reoperation with conversion to total hip arthroplasty or revision fixation following ORIF is 10% and 15%, respectively. Further investigation is required to improve outcomes and decrease complications in this group of patients, especially cardiac, deep vein thrombosis, and infection.
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Details
- Title
- Operative Treatment of Acetabular Fractures in the Medicare Population
- Creators
- Peter J. Hayes - University of Louisville HospitalColin M. Carroll - Univ Louisville, Dept Orthopaed Surg, Louisville, KY 40202 USACraig S. Roberts - Univ Louisville, Dept Orthopaed Surg, Louisville, KY 40202 USADavid Seligson - Univ Louisville, Dept Orthopaed Surg, Louisville, KY 40202 USAEdmund Lau - Exponent Inc, Menlo Pk, CA USASteven Kurtz - Exponent (United States)Kevin Ong - Exponent (United States)Arthur L. Malkani - Univ Louisville, Dept Orthopaed Surg, Louisville, KY 40202 USA
- Publication Details
- Orthopedics (Thorofare, N.J.), v 36(8), pp E1065-E1070
- Publisher
- Slack Inc
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:000323276000015
- Scopus ID
- 2-s2.0-84883003440
- Other Identifier
- 991019176644404721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Orthopedics