title: Paediatric acetabular fractures. Data from the German Pelvic Trauma Registry Initiative.
abstract: The aim of this study was to present an analysis of acetabular fractures during childhood as compared to those in adults. Within a multicenter register study, data of 3 time periods (1991-93, 1998-2000, 2004-2008) were pooled and analyzed for incidence, epidemiology, classification, outcome and treatment of acetabular fractures in children (< 15 years). One hundred fifty three children (2.1%) among 7360 patients with pelvic fractures were included in the study. Only 15 children sustained an acetabular fracture (9.8%). Simple fracture types according to Letournels' classification were more frequent in paediatric patients (p < 0.01), receiving less often operative treatment. Multiple injuries were present in 36% of children, the average Injury Severity Score (ISS) of all children was 17 points. Clinical results were good with an average Merle d'Aubigné score of 16.4 points and a Karnofsky performance of 90%. Fractures of the acetabulum in childhood remain a rare injury with distinct fracture characteristics, usually caused by high impact accidents.
authors.affiliation: Department of Orthopaedic Surgery, University of Freiburg Medical Center, Freiburg, Germany.
authors.forename: Johanna
authors.initials: J
authors.lastname: von Heyden
authors.forename: Oliver
authors.initials: O
authors.lastname: Hauschild
authors.forename: Peter C
authors.initials: PC
authors.lastname: Strohm
authors.forename: Fabian
authors.initials: F
authors.lastname: Stuby
authors.forename: Norbert P
authors.initials: NP
authors.lastname: Südkamp
authors.forename: Hagen
authors.initials: H
authors.lastname: Schmal
mesh_terms: D000077:Acetabulum / Q000293:injuries*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D012042:Registries