OBJECTIVE: in elderly patients reduction and fixation of acetabular fractures showed poor outcomes in fracture patterns where cartilage comminution/impaction and/or femoral head dislocation are present; acute arthroplasty with standard uncemented hemispherical cups and posterior plating has been recently proposed, we report on its safety and effectiveness. METHODS: we used this technique to manage 67 displaced acetabular fracture but both column in patients older than 65 years old. RESULTS: fractures of posterior column and/or wall with severe cartilage involvement may be treated safely with acute THA. CONCLUSIONS: Good results in complex fracture patterns may also be achieved.
OBJECTIVE: in elderly patients reduction and fixation of acetabular fractures showed poor outcomes in fracture patterns where cartilage comminution/impaction and/or femoral head dislocation are present; acute arthroplasty with standard uncemented hemispherical cups and posterior plating has been recently proposed, we report on its safety and effectiveness. METHODS: we used this technique to manage 67 displaced acetabular fracture but both column in patients older than 65 years old. RESULTS: fractures of posterior column and/or wall with severe cartilage involvement may be treated safely with acute THA. CONCLUSIONS: Good results in complex fracture patterns may also be achieved.
Authors: Robert D Stibolt; Harshadkumar A Patel; Samuel R Huntley; Eva J Lehtonen; Ashish B Shah; Sameer M Naranje Journal: Chin J Traumatol Date: 2018-04-26