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Return to work after surgically treated acetabular fractures in an Asian population

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Background

Acetabular fractures are rare but are severe injuries that occur in younger patients with a significant economic impact. There is limited evidence describing the return to work rates in this group of patients. The aim of our study was to examine the rate and time to return to work (RTW) after surgical fixation of acetabular fractures.

Methods

We performed a retrospective study on all patients with surgically treated acetabular fractures at a single institution between 1 July 2010 and 31 December 2018. Medical records were reviewed to analyze demographics such as age, gender, occupation and RTW characteristics.

Results

There were 30 patients, with a mean age of 43.3 ± 12.7 years. There were 26 patients who were employed prior to injury. The most common mechanism of injury was from a road traffic accident (73.3%). The average ISS was 8.9 ± 5.2. The mean follow-up duration was 21.5 months ± 15.7. The rate of RTW was 80.8%. Eighteen patients (85.7%) returned to the same job and duties, while two (9.5%) returned with same job but lighter duties and one (4.8%) had to change job. Three patients (11.5%) retired. The average time to return to work was 8.3 months (range 2–57.5). RTW rates were 15.4%, 61.5%, 69.2% at 3, 6 and 12 months, respectively.

Conclusion

Acetabular fractures can lead to loss of economic productivity, with 80.8% of patients returning to work. Work reintegration programs after acetabular fractures are important.

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References

  1. Laird A, Keating JF (2005) Acetabular fractures: a 16-year prospective epidemiological study. J Bone Joint Surg Br 87(7):969–973. https://doi.org/10.1302/0301-620X.87B7.16017

    Article  CAS  PubMed  Google Scholar 

  2. Rinne PP, Laitinen MK, Huttunen T, Kannus P, Mattila VM (2017) The incidence and trauma mechanisms of acetabular fractures: a nationwide study in Finland between 1997 and 2014. Injury 48(10):2157–2161. https://doi.org/10.1016/j.injury.2017.08.003

    Article  PubMed  Google Scholar 

  3. Mauffrey C, Hao J, Cuellar DO et al (2014) The epidemiology and injury patterns of acetabular fractures: are the USA and China comparable? Clin Orthop 472(11):3332–3337. https://doi.org/10.1007/s11999-014-3462-8

    Article  PubMed  PubMed Central  Google Scholar 

  4. Bible JE, Wegner A, McClure DJ et al (2014) One-year mortality after acetabular fractures in elderly patients presenting to a level-1 trauma center. J Orthop Trauma 28(3):154–159. https://doi.org/10.1097/BOT.0b013e31829e801b

    Article  PubMed  Google Scholar 

  5. Gary JL, Paryavi E, Gibbons SD et al (2015) Effect of surgical treatment on mortality after acetabular fracture in the elderly: a multicenter study of 454 patients. J Orthop Trauma 29(4):202–208. https://doi.org/10.1097/BOT.0000000000000223

    Article  PubMed  Google Scholar 

  6. Judet R, Judet J, Letournel E (1964) Fractures of the acetabulum: classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg Am 46:1615–1646.

    Article  CAS  Google Scholar 

  7. Mesbahi SAR, Ghaemmaghami A, Ghaemmaghami S, Farhadi P (2018) Outcome after surgical management of acetabular fractures: a 7-year experience. Bull Emerg Trauma 6(1):37–44. https://doi.org/10.29252/beat-060106

    Article  PubMed  PubMed Central  Google Scholar 

  8. Petsatodis G, Antonarakos P, Chalidis B, Papadopoulos P, Christoforidis J, Pournaras J (2007) Surgically treated acetabular fractures via a single posterior approach with a follow-up of 2–10 years. Injury 38(3):334–343. https://doi.org/10.1016/j.injury.2006.09.017

    Article  PubMed  Google Scholar 

  9. Ma B, Zhang Y, Zhang X (2006) Operative management of acetabular fracture. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi Zhongguo Xiufu Chongjian Waike Zazhi. Chin J Reparative Reconstr Surg 20(6):640–642

    Google Scholar 

  10. Elmali N, Ertem K, Inan M, Ayan I, Denizhan Y (2003) Clinical and radiologic results of surgically-treated acetabular fractures. Acta Orthop Traumatol Turc 37(2):97–101

    PubMed  Google Scholar 

  11. Pascarella R, Cerbasi S, Politano R et al (2017) Surgical results and factors influencing outcome in patients with posterior wall acetabular fracture. Injury 48(8):1819–1824. https://doi.org/10.1016/j.injury.2017.05.039

    Article  PubMed  Google Scholar 

  12. Meena UK, Tripathy SK, Sen RK, Aggarwal S, Behera P (2013) Predictors of postoperative outcome for acetabular fractures. Orthop Traumatol Surg Res OTSR 99(8):929–935. https://doi.org/10.1016/j.otsr.2013.09.004

    Article  CAS  PubMed  Google Scholar 

  13. Giordano V, Pecegueiro do Amaral N, Franklin CE, Pallottino A, Pires E, Albuquerque R, Giordano M (2007) Functional outcome after operative treatment of displaced fractures of the acetabulum: a 12-month to 5-year follow-up investigation. Eur J Trauma Emerg Surg Off Publ Eur Trauma Soc 33(5):520–527. https://doi.org/10.1007/s00068-007-6092-y

  14. Giannoudis PV, Grotz MRW, Papakostidis C, Dinopoulos H (2005) Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br 87(1):2–9.

  15. Aprato A, Joeris A, Tosto F et al (2017) Are work return and leaves of absence after acetabular fractures predictable?: a retrospective study of 108 patients. Musculoskelet Surg 101(1):31–35. https://doi.org/10.1007/s12306-016-0430-3

    Article  CAS  PubMed  Google Scholar 

  16. Nusser M, Holstiege J, Kaluscha R et al (2015) Return to Work after Fractures of the Pelvis and the Acetabulum. Z Orthopadie Unfallchirurgie 153(3):282–288. https://doi.org/10.1055/s-0034-1396261

    Article  CAS  Google Scholar 

  17. Baker SP, O’Neill B, Haddon W, Long WB (1974) The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 14(3):187–196

    Article  CAS  Google Scholar 

  18. Fitz-Henry J (2011) The ASA classification and peri-operative risk. Ann R Coll Surg Engl 93(3):185–187. https://doi.org/10.1308/rcsann.2011.93.3.185a

    Article  PubMed  PubMed Central  Google Scholar 

  19. Butcher N, Balogh ZJ (2009) The definition of polytrauma: the need for international consensus. Injury 40(Suppl 4):S12-22. https://doi.org/10.1016/j.injury.2009.10.032

    Article  PubMed  Google Scholar 

  20. Bogdan Y, Tornetta P, Jones C et al (2015) Neurologic injury in operatively treated acetabular fractures. J Orthop Trauma 29(10):475–478. https://doi.org/10.1097/BOT.0000000000000362

    Article  PubMed  Google Scholar 

  21. Murphy D, Kaliszer M, Rice J, McElwain JP (2003) Outcome after acetabular fracture. Prognostic factors and their inter-relationships Injury 34(7):512–517

    Article  CAS  Google Scholar 

  22. Matta JM (1996) Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 78(11):1632–1645

    Article  CAS  Google Scholar 

  23. Kebaish AS, Roy A, Rennie W (1991) Displaced acetabular fractures: long-term follow-up. J Trauma 31(11):1539–1542

    Article  CAS  Google Scholar 

  24. Mears DC, Velyvis JH, Chang C-P (2003) Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop 407:173–186. https://doi.org/10.1097/00003086-200302000-00026

    Article  Google Scholar 

  25. Briffa N, Pearce R, Hill AM, Bircher M (2011) Outcomes of acetabular fracture fixation with ten years’ follow-up. J Bone Joint Surg Br 93(2):229–236. https://doi.org/10.1302/0301-620X.93B2.24056

    Article  CAS  PubMed  Google Scholar 

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Funding

No funding was required for this study.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, 90 Yishun Central, Yishun, 768828, Singapore

    Hannah Jia Hui Ng, Dew Jia Min Lim, Ren Yong, Derek Howard Park & Antony Xavier Rex Premchand

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  1. Hannah Jia Hui Ng
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  2. Dew Jia Min Lim
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  3. Ren Yong
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  4. Derek Howard Park
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  5. Antony Xavier Rex Premchand
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Correspondence to Hannah Jia Hui Ng.

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Appendix

Appendix

See Table 5.

Table 5 Table of injuries in patients who were employed prior to injury (n = 26)
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Ng, H.J.H., Lim, D.J.M., Yong, R. et al. Return to work after surgically treated acetabular fractures in an Asian population. Eur J Orthop Surg Traumatol 31, 1161–1169 (2021). https://doi.org/10.1007/s00590-020-02866-1

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