Acute total hip arthroplasty for acetabular fractures in the elderly - 11 patients followed for 2 years

被引:33
作者
Mouhsine, E [1 ]
Garofalo, R [1 ]
Borens, O [1 ]
Fischer, JF [1 ]
Crevoisier, X [1 ]
Pelet, S [1 ]
Blanc, CH [1 ]
Leyvraz, PF [1 ]
机构
[1] CHU Vaudois, Dept Orhtoped Surg & Traumatol, CH-1011 Lausanne, Switzerland
来源
ACTA ORTHOPAEDICA SCANDINAVICA | 2002年 / 73卷 / 06期
关键词
D O I
10.3109/17453670209178024
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We describe the use of cable fixation and acute total hip replacement for acetabular fracture in the elderly. 12 patients with acetabular fractures, having a mean age of 79 (65-93) years, were treated with cable fixation and acute total hip arthroplasty. 8 were T-shaped fractures and 4 associated fractures of the posterior column and posterior wall. I patient died 5 months after surgery and the remaining 11 were followed for 2 years. All patients had a good clinical outcome. Radiographic assessment showed healing of the fracture and a satisfactory alignment of the cup without loosening. This surgical technique provides good primary fixation, stabilizes complex acetabular fractures in elderly patients with osteoporotic bone and permits early postoperative mobilization.
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页码:615 / 618
页数:4
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