{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T10:30:53Z","timestamp":1769509853136,"version":"3.49.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To evaluate the functional outcomes of pediatric and adolescent patients (&lt;18 year old) who sustained acetabulum fractures that were treated with open reduction internal fixation (ORIF).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective cohort.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Level 1 trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Thirty-four pediatric and adolescent patients underwent acetabulum fracture ORIF between 2001 and 2018. Of the operatively treated patients, 21 patients had sufficient follow-up (&gt;6 months), one died after fixation secondary to other traumatic injuries, and 12 patients were lost to follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Acetabulum fracture ORIF.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurement:<\/jats:title>\n            <jats:p>The SF-36 Health Survey and Short Musculoskeletal Functional Assessment (SMFA) were compared with population norms. The modified Merle d'Aubign\u00e9 clinical hip score, Matta radiologic outcome, and postoperative complications were also documented.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Functional outcome data were available at a mean of 5 years 2 months. Mean SF-36 scores were 44.8 and 50.1 for the physical component score and mental component scores, respectively, which did not differ significantly from US population norms (physical component score mean: 50, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.061 and mental component score mean: 50, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.973). Furthermore, the mean SMFA Bother Index score was 18.6, which is not significantly different from the population norm mean of 13.8 (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.268). However, the function index mean was 31.9, which was significantly worse than the population norm mean of 12.7 (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001). Two patients with a delayed reduction (&gt;6 hours) of an acetabulum fracture dislocation had poor outcomes related to the development of avascular necrosis and post-traumatic osteoarthritis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>In this small cohort, 86% (18\/21) of these patients had a favorable functional outcome with the exception of the SMFA Functional Index that was significantly less than population norms. Although long-term follow-up is needed, we advocate for operative management of pediatric and adolescent acetabulum fractures when adult displacement and instability criteria are present.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000002248","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T07:00:59Z","timestamp":1630306859000},"page":"137-141","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Pediatric and Adolescent Fractures of the Acetabulum Treated With ORIF: What Are Their Functional Outcomes?"],"prefix":"10.1097","volume":"36","author":[{"given":"Brendan R.","family":"Southam","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Cincinnati Academic Health Center, Cincinnati, OH;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Schumaier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Cincinnati Academic Health Center, Cincinnati, OH;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Ramalingam","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Avilucea","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orlando Health Orthopaedic Institute, Orlando, FL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Rice Denning","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick W.","family":"Whitlock","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael T.","family":"Archdeacon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Cincinnati Academic Health Center, Cincinnati, OH;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250614","first-page":"34","article-title":"Operative treatment of unstable pediatric pelvis and acetabular fractures","volume":"25","author":"Karunakar","year":"2005","journal-title":"J Pediatr Orthop."},{"issue":"suppl 1","key":"R2-20250614","doi-asserted-by":"crossref","first-page":"A57","DOI":"10.1016\/j.injury.2004.12.014","article-title":"Pelvic and acetabular fractures in childhood","volume":"36","author":"Schlickewei","year":"2005","journal-title":"Injury"},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1097\/00003086-200007000-00012","article-title":"Acetabular fractures in children and adolescents","volume":"376","author":"Heeg","year":"2000","journal-title":"Clin Orthop Relat Res."},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1097\/00005373-197911000-00001","article-title":"Pediatric pelvic fractures: review of 52 patients","volume":"19","author":"Bryan","year":"1979","journal-title":"J Trauma."},{"key":"R5-20250614","first-page":"611","article-title":"Paediatric acetabular fractures. 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