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Pelvic and acetabular fracture management in intravenous drug users

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Pelvic and acetabular fractures are significant injuries associated with high morbidity or mortality. Intravenous drug users (IVDU) represent a challenging group of patients, with an increased risk of complications and infection. To our knowledge there has not been any published literature concerning IVDU and this type of injuries.

Patients and methods

A group of 19 patients with a history of IVDU and who had sustained an injury were identified.

Results

The mean age at injury was 36 years old; nine had a pelvic fracture and ten had an acetabular fracture. No complications were observed in the pelvic group. In the acetabular group, the infection risk was 50% and the risk of femoral head avascular necrosis was 33%. The mean follow up was 43.1 months from injury.

Conclusion

We advise emphasis in the high infection and avascular necrosis rates, when consenting the patient for an operation. Furthermore, non-operative treatment should be considered, where possible.

Level of evidence

Level III. Retrospective cohort study. Prognostic-investigating the effect of a patient characteristic on the outcome of the disease.

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Funding

No funding was received for the production of this paper or monetary incentives for the people involved in the management of these patients.

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Authors and Affiliations

  1. Trauma and Orthopaedics, University Hospitals of North Midlands NHS Trust, Royal Stoke Hospital, Newcastle Road, Stoke-on-Trent, ST4 6QG, UK

    Georgios Orfanos, Justin Lim & Bishoy Youssef

  2. Birmingham, UK

    Georgios Orfanos

Authors
  1. Georgios Orfanos
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  2. Justin Lim
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  3. Bishoy Youssef
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Corresponding author

Correspondence to Georgios Orfanos.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

This is a retrospective observational study. An Institutional Review Board (IRB) approval was not sought after. No animals or human subjects were used for this project. This was a retrospective study from our pelvic and acetabular database evaluating outcomes. Addition to our database is performed after verbal consent is taken. Patients sustaining pelvic or acetabular injuries are placed in a prospectively kept database. This was a retrospective study from our pelvic and acetabular database evaluating outcomes in this particular group of patients. Patients included to our database are verbally consented, but no written consent is routinely done.

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Orfanos, G., Lim, J. & Youssef, B. Pelvic and acetabular fracture management in intravenous drug users. Arch Orthop Trauma Surg 141, 419–425 (2021). https://doi.org/10.1007/s00402-020-03499-z

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  • DOI: https://doi.org/10.1007/s00402-020-03499-z

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