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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 10, 1354-1359.
doi: 10.1302/0301-620X.91B10.22572  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Factors determining quality of life and level of sporting activity after internal fixation of an isolated acetabular fracture

P. V. Giannoudis, MD, FRCS, Professor1; V. S. Nikolaou, MD, PhD, Trauma Fellow1; E. Kheir, MRCS, Clinical Fellow1; S. Mehta, MRCS and MS(Orth), Trauma Fellow1; D. Stengel, MD, PhD, MSc, Head2; and C. S. Roberts, MD, Professor3

1 Academic Department of Trauma & Orthopaedics, School of Medicine University of Leeds, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK.
2 Center for Clinical Research, Department of Trauma & Orthopaedic Surgery Unfallkrankenhaus Berlin and University of Greifswald, Warenerstrasse 7, 12683, Berlin Germany.
3 Department of Orthopaedic Surgery University of Louisville School of Medicine, ACB, Third Floor Bridge, HSC 234 Louisville, Kentucky 40292, USA.

Correspondence should be sent to Professor P. V. Giannoudis; e-mail: pgiannoudi{at}aol.com

We investigated whether patients who underwent internal fixation for an isolated acetabular fracture were able to return to their previous sporting activities.

We studied 52 consecutive patients with an isolated acetabular fracture who were operated on between January 2001 and December 2002. Their demographic details, fracture type, rehabilitation regime, outcome and complications were documented prospectively as was their level and frequency of participation in sport both before and after surgery. Quality of life was measured using the EuroQol-5D health outcome tool (EQ-5D).

There was a significant reduction in level of activity, frequency of participation in sport (both p < 0.001) and EQ-5D scores in patients of all age groups compared to a normal English population (p = 0.001). A total of 22 (42%) were able to return to their previous level of activities: 35 (67%) were able to take part in sport at some level. Of all the parameters analysed, the Matta radiological follow-up criteria were the single best predictor for resumption of sporting activity and frequency of participation.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General