The impact of race on the development of severe heterotopic ossification following acetabular fracture surgery

Injury
Harris S SloneLangdon A Hartsock

Abstract

To determine the association between race on severe heterotopic ossification (HO) following acetabular fracture surgery. Retrospective case control study. Level I university trauma centre. Two hundred and fifty-three patients who were surgically treated for acetabular fractures were retrospectively evaluated. Postoperative radiographs were evaluated for HO by a blinded musculoskeletal radiologist, and classified based on a modified Brooker classification. Of the 253 patients that met inclusion and exclusion criteria, 175 (69%) were male and 78 (31%) were female. One hundred and fifty-four (61%) patients were Caucasian, and 99 (39%) were African American (AA). Fifty-five (21%) patients developed severe HO. Of those who developed severe HO, 25 were Caucasian (45%), 30 were African American (55%). Forty-one patients (75%) with severe HO were male, and 14 (25%) were female. No statistical differences (p>0.05) were found between groups in terms of age, days to surgery, GCS at presentation, surgical approach, perioperative HO prophylaxis, or AO/OTA fracture classification. The patient population was then stratified by race, gender, and race/gender. AA were more likely than Caucasians to develop severe HO (odds ratio [OR], 2.24; confi...Continue Reading

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Citations

Oct 27, 2015·Clinical Orthopaedics and Related Research·Jason A DavisJoshua L Gary
Jan 31, 2018·Bulletin of Emergency & Trauma·Seyed Amir Reza MesbahiPouya Farhadi
Apr 28, 2017·Journal of Orthopaedic Surgery and Research·Lukas L Negrin, David Seligson
Apr 8, 2021·International Orthopaedics·Taoufik CherradLarbi Amhajji
Dec 3, 2021·Archives of Orthopaedic and Trauma Surgery·Ramakanth R YakkantiStephen M Quinnan

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