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Review Question - QID 651

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QID 651 (Type "651" in App Search)
Which statement is true with respect to acetabular fracture surgery as the time between injury and surgery increases?

decreased chance of anatomic fracture reduction

90%

1347/1503

decreased risk of heterotopic ossification

2%

27/1503

decreased rate of neurologic injury

1%

10/1503

decreased rate of infection

1%

16/1503

decreased rate of multi-organ failure

6%

97/1503

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Madhu et al showed time to surgery was a significant predictor of radiological and functional outcome for both elementary and associated displaced fractures of the acetabulum. Both anatomic reduction and functional outcome significantly worsened as time to surgery increased. It was found anatomic reduction was more likely when surgery was within 15 days for elementary fracture and 5 days for associated.

Incorrect answers:
2: No data exists showing a decrease in heterotopic ossification as time to surgery increases.
3: Neurologic injury is more associated with the initial injury.
4,5: Multi-organ failure was not commented on, but infection showed a trend towards being more likely with longer time to surgery.

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