Background: Within a timeframe of 8 years (2008-2016), 38 patients have undergone total hip replacement surgery for coxarthrosis or aseptic necrosis secondary to acetabulum fractures. Materials and Methods: The study included 27 males and 11 females between 42 and 70 years of age, all of whom came from other institutions. The follow-up period ranged between a minimum of 4.6 and a maximum of 9.7 years. Results: At the final follow-up, all patients were evaluated using the Merle D'Aubigne and Pastel model. Optimal results were found in all the cases. Three patients benefited from surgical revisitation with implant exchange following infection and one/two state reimplatation at seven, fourtheen et twenty-seven months respectively. Two patients benefited from cotyle revision due to chronic instability of the implant. Conclusions: The scope of the study was to present all the possible surgical difficulties that can come up with prosthetic implants. More particularly, hip implants after acetabulum fractures qualifies as a "difficult primary implant".
Background: Within a timeframe of 8 years (2008-2016), 38 patients have undergone total hip replacement surgery for coxarthrosis or aseptic necrosis secondary to acetabulum fractures. Materials and Methods: The study included 27 males and 11 females between 42 and 70 years of age, all of whom came from other institutions. The follow-up period ranged between a minimum of 4.6 and a maximum of 9.7 years. Results: At the final follow-up, all patients were evaluated using the Merle D'Aubigne and Pastel model. Optimal results were found in all the cases. Three patients benefited from surgical revisitation with implant exchange following infection and one/two state reimplatation at seven, fourtheen et twenty-seven months respectively. Two patients benefited from cotyle revision due to chronic instability of the implant. Conclusions: The scope of the study was to present all the possible surgical difficulties that can come up with prosthetic implants. More particularly, hip implants after acetabulum fractures qualifies as a "difficult primary implant".
Entities:
Keywords:
Paprosky classification; acetabular fractures; aseptic necrosis; posttraumatic hip arthrosis; total hip arthroplasty
Authors: Georgios I Vasileiadis; Yodhiaki Itoigawa; Derek F Amanatullah; Luis Pulido-Sierra; Jeremy R Crenshaw; Christine Huyber; Michael J Taunton; Kenton R Kaufman Journal: Orthopedics Date: 2016-09-30 Impact factor: 1.390
Authors: Graeme M Nicol; Ethan B Sanders; Paul R Kim; Paul E Beaulé; Wade T Gofton; George Grammatopoulos Journal: J Arthroplasty Date: 2020-08-18 Impact factor: 4.757
Authors: Zachary Morison; Dirk Jan F Moojen; Aaron Nauth; Jeremy Hall; Michael D McKee; James P Waddell; Emil H Schemitsch Journal: Clin Orthop Relat Res Date: 2016-02 Impact factor: 4.176