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Review Question - QID 3011

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QID 3011 (Type "3011" in App Search)
A 25-year-old male is involved in a motor vehicle accident and presents with the injury shown in Figure A. Early fixation of this fracture pattern is associated with all of the following EXCEPT?
  • A

Decreased length of hospital stay

1%

17/1175

Improved functional outcome

3%

37/1175

Greater organ dysfunction

85%

1001/1175

Higher likelihood of being discharged to home as opposed to a rehab facility

5%

53/1175

Improved fracture reduction

5%

56/1175

  • A

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Early fixation of acetabular fractures is associated with lesser organ dysfunction, so therefore answer three is not true.

Plaisier et al showed the timing of acetabular and pelvic ring fracture fixation greatly impacted patient outcome. Patients who had fixation within 24 hours of injury showed shorter length of stay in the hospital and ICU (decreased number of ventilator days), improved functional outcomes including a highly likelihood of being discharged to home as opposed to a rehabilitation facility, and lesser organ dysfunction.

The reference by Matta et al is a classic article that shows that patients fixed within 3 weeks of injury showed both a higher rate of anatomical reduction and lower overall complication rate than patients with similar fracture patterns treated after 3 weeks.

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