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Acetabular fracture elderly

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https://www.readbyqxmd.com/read/28216064/internal-fixation-of-acetabular-fractures-in-an-older-population-using-the-timi-approach-midterm-results-of-a-prospective-study
#1
Rene Aigner, Ralf Hellige, Sabine Knippel, Ludwig Oberkircher, Steffen Ruchholtz, Benjamin Buecking
INTRODUCTION: The incidence of geriatric acetabular fractures continues to increase due to demographic changes. In the elderly, anterior column fractures are common, and standard approaches are associated with a considerable risk for surgery-associated complications. Therefore, a minimally invasive approach was developed in our department. The aim of this study was to examine early and mid-term results regarding the use of this novel two-incision minimally invasive (TIMI) approach in patients aged over 55 years with acetabular fractures...
February 3, 2017: Injury
https://www.readbyqxmd.com/read/28194414/acetabular-fractures-in-the-elderly-midterm-outcomes-of-column-stabilisation-and-primary-arthroplasty
#2
A Ortega-Briones, S Smith, M Rickman
Background. Interest in arthroplasty techniques for periarticular or intra-articular fractures in the elderly/osteoporotic patient continues to rise, including for geriatric acetabular fractures. In line with this, many acetabular fracture surgeons are now undertaking acute total hip arthroplasty in elderly/osteoporotic patients. Little is known however of the outcomes of this procedure, beyond the first year after surgery. Questions/Purposes. We determined the clinical outcomes of a series of elderly osteoporotic patients (mean age at surgery 77...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28145950/increased-mortality-in-elderly-patients-with-sarcopenia-and-acetabular-fractures
#3
Matthew E Deren, Jacob Babu, Eric M Cohen, Jason Machan, Christopher T Born, Roman Hayda
BACKGROUND: Sarcopenia is a condition of clinically relevant loss of muscle mass and function. Acetabular fractures in elderly patients are common and difficult to treat. This study aimed to determine if sarcopenia is common in elderly patients with acetabular fractures and correlates with lower-energy mechanisms of injury, higher rates of complications, and higher mortality than patients with normal muscle mass. METHODS: The Rhode Island Hospital Trauma Database was queried for patients who were ≥60 years of age from 2005 to 2014 using the International Classification of Diseases, Ninth Revision, code for closed acetabular fracture, 808...
February 1, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28116262/acetabular-prosthetic-protrusio-after-bipolar-hemi-arthroplasty-of-the-hip-case-report-and-review-of-the-literature
#4
Jason Bt Lim, Chia Liang Ang, Hee Nee Pang
INTRODUCTION: Bipolar hemi-arthroplasty of the hip is a commonly performed procedure in elderly patients with intra-capsular fracture of the neck of the femur with good short-term results for pain relief, return to activity and morbidity. The incidence of intra-pelvic prosthesis migration or protrusion is rare and one of the inciting factors is chronic low-grade sepsis. Acetabular prosthesis protrusion poses a difficult and challenging surgical problem due to surrounding neurovascular structures...
July 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28111703/total-hip-replacement-in-complex-acetabular-fractures-using-a-coned-hemipelvic-acetabular-component
#5
Samuel E McMahon, Laurence A Cusick
Acetabular fractures in the elderly are a challenging clinical problem due to both the complex nature of operative intervention, osteoporotic bone and the multiple comorbidities of the patients involved. They are associated with poor functional outcomes and high levels of morbidity and mortality. Treatment currently ranges from conservative treatment, open reduction internal fixation and variations of total hip arthroplasty. We present the surgical technique and early results of the use of a coned hemipelvic acetabular component in the primary treatment of these complex injuries...
January 23, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27792674/acetabular-fractures-in-the-elderly-a-critical-analysis-review
#6
Ted Manson, Andrew H Schmidt
No abstract text is available yet for this article.
October 4, 2016: JBJS Reviews
https://www.readbyqxmd.com/read/27687806/do-conversion-total-hip-arthroplasty-yield-comparable-results-to-primary-total-hip-arthroplasty
#7
Ran Schwarzkopf, Garwin Chin, Kelvin Kim, Dermot Murphy, Antonia F Chen
BACKGROUND: The incidence of hip fractures is growing with the increasing elderly population. Typically, hip fractures are treated with open reduction internal fixation, hemiarthroplasty, or total hip arthroplasty (THA). Failed hip fracture fixation is often salvaged by conversion THA. The total number of conversion THA procedures is also supplemented by its use in treating different failed surgical hip treatments such as acetabular fracture fixation, Perthes disease, slipped capital femoral epiphysis, and developmental dysplasia of the hip...
September 1, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27618446/displaced-acetabular-fractures-in-elderly-patients-is-acute-arthroplasty-an-effective-option
#8
Z Yang, S M Röhrl, L Nordsletten
The purpose of this study is aimed to review available literatures about displaced acetabular fractures in elder patients treated with acute total hip arthroplasty. In our paper, a systematic review of the literatures about different treatment options with acute total hip arthroplastyt was represented. Furthermore, we also discussed the indications, techniques, approaches and complications and finally present a treatment recommendation based on the current articles.
February 12, 2016: West Indian Medical Journal
https://www.readbyqxmd.com/read/27551574/different-stabilization-techniques-for-type-62b3-acetabular-fractures-in-combination-with-primary-total-hip-arthroplasty-in-elderly-patients-a-biomechanical-comparison
#9
Valentinas Uvarovas, Igoris Šatkauskas, Robertas Urbonavičius, Vytautas Bučinskas, Julius Griškevičius, Vytautas Vengrauskas, Giedrius Petryla, Povilas Masionis, Audrius Andrijauskas, Narūnas Porvaneckas
INTRODUCTION: The total hip arthroplasty (THA) as part of acute fracture management is used for acetabular fractures in elderly patients. Our objective was to assess the stability of osteosynthesis performed using 2 different techniques in combination with THA in an experimental model. MATERIALS AND METHODS: We conducted 20 experiments using the left-side hemipelves composite bone models. There were 2 testing groups: 1- and 2-stage osteosynthesis. The acetabular fractures of the anterior column and posterior hemitransverse were simulated...
September 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/27550496/decreased-lumbar-lordosis-and-deficient-acetabular-coverage-are-risk-factors-for-subchondral-insufficiency-fracture
#10
Woo Lam Jo, Woo Suk Lee, Dong Sik Chae, Ick Hwan Yang, Kyoung Min Lee, Kyung Hoi Koo
Subchondral insufficiency fracture (SIF) of the femoral head occurs in the elderly and recipients of organ transplantation. Osteoporosis and deficient lateral coverage of the acetabulum are known risk factors for SIF. There has been no study about relation between spinopelvic alignment and anterior acetabular coverage with SIF. We therefore asked whether a decrease of lumbar lordosis and a deficiency in the anterior acetabular coverage are risk factors. We investigated 37 patients with SIF. There were 33 women and 4 men, and their mean age was 71...
October 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27446621/traumatic-periprosthetic-acetabular-fracture-treated-with-one-stage-exchange-and-bone-reconstruction-using-a-synthetic-bone-graft-substitute
#11
Jan Svacina
A case of a traumatic periprosthetic acetabular fracture in an elderly patient, which was treated by one-stage hip exchange with implantation of an antiprotrusio cage and reconstruction of the acetabular bone loss with an injectable calcium sulphate/hydroxyapatite bone graft substitute, is reported. The paste-like bone graft substitute was injected through the holes of the antiprotrusio cage. After a setting time of 15 minutes, a low-profile cup was cemented onto the cage using polymethylmethacrylate and a new stem was inserted...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27418454/flexible-3d-laparoscopic-assisted-reduction-and-percutaneous-fixation-of-acetabular-fractures-introduction-to-a-new-surgical-option
#12
C Mauffrey, M Hake, F J Kim
The gold standard for fractures of the acetabulum is to perform an open reduction and internal fixation in order to achieve anatomical reduction. In a well-defined subset of patients, percutaneous techniques may be employed but achieving reduction by closed means can be challenging especially for fractures with large degrees of displacement. Such patient may include elderly patients who may not have the physiologic reserve to withstand open approaches. In our paper, we present a new option using laparoscopic assisted reduction of the acetabular fracture and percutaneous fixation...
October 2016: Injury
https://www.readbyqxmd.com/read/27398108/late-anterior-dislocation-due-to-posterior-pelvic-tilt-in-total-hip-arthroplasty
#13
Hiroki Kobayashi, Yasuharu Nakashima, Takuaki Yamamoto, Goro Motomura, Masayuki Kanazawa, Kenji Takagishi, Yukihide Iwamoto
BACKGROUND: Excessive pelvic tilt may be one of the factors leading to instability in total hip arthroplasty (THA), even when the acetabular cup is placed properly. To our knowledge, only a few studies have described late anterior dislocation due to posterior pelvic tilt. We present 3 cases with late anterior dislocations possibly due to posterior pelvic tilt. CASES PRESENTATIONS: Case-1: An 84-years-old woman fell and presented with an anterior dislocation 12-years after THA...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27366952/-surgical-treatment-of-acetabulum-fractures-with-a-new-acetabulum-butterfly-plate
#14
A Schäffler, T Freude, F Stuby, D Höntzsch, J Veltkamp, U Stöckle, B König
Introduction: There have been significant increases in the number of acetabular fractures in elderly patients with primarily ventral pathology and medial protrusion of the femoral head. We have developed the "acetabulum wing plate", which is designed to facilitate repositioning, with its anatomically precontoured structure, and which offers full support of the quadrilateral surface, thus counteracting the force of the femoral head pushing inwards. Conventional plate osteosynthesis only provides insufficient support to the medial surface...
October 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27215472/the-value-of-modular-hemiarthroplasty-for-unstable-femoral-neck-fractures-in-elderly-patients-with-coxarthrosis
#15
Robert Döring, Thorsten Jentzsch, Max J Scheyerer, William Pfäffli, Clément M L Werner
BACKGROUND: Displaced femoral neck fractures are common in the elderly patient. The surgical treatment options consist of a hemiarthroplasty (HA) or total hip arthroplasty (THA). However, the best surgical choice is still under debate. Bipolar HAs do not address preexisting arthritic changes of the acetabulum, which may lead to an unfavorable clinical outcome. The purpose of the present study was to conduct a long term follow-up analysis of the bipolar hemiarthroplasty with particular focus on the influence of preoperative acetabular osteoarthritis on the functional outcome...
May 23, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27129135/constrained-captive-acetabular-cup-for-recurrent-dislocation-of-hemiarthroplasty-in-elderly-a-case-series
#16
Aysha Rajeev, Paul Banaszkiewicz
INTRODUCTION: Hemiarthroplasty of the hip is one of the commonest procedures done for intracapsular fractures of the neck of femur in elderly. Dislocation of the hemiarthroplasty is a recognised and significant complication. This is associated with considerable morbidity and mortality. The treatment options include closed manipulation, skin and skeletal traction, conversion to total hip replacement, exploration and open reduction and leaving it out of the acetabulum. PRESENTATION OF CASE: A retrospective review of ten patients with recurrent and failed closed manipulative reduction of hemiarthroplasty who underwent revision using a cemented captive acetabular cup and cement to cement revision of femoral component with Exeter CDH stem was carried out...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27037805/treatment-of-periprosthetic-acetabular-fractures-after-previous-hemi-or-total-hip-arthroplasty-introduction-of-a-new-implant
#17
H Resch, D Krappinger, P Moroder, M Blauth, J Becker
OBJECTIVE: Treatment of displaced periprosthetic acetabular fractures in elderly patients. The goal is to stabilize an acetabular fracture independent of the fracture pattern, by inserting the custom-made roof-reinforcement plate and starting early postoperative full weight-bearing mobilization. INDICATIONS: Acetabular fracture with or without previous hemi- or total hip arthroplasty. CONTRAINDICATIONS: Non-displaced acetabular fractures. SURGICAL TECHNIQUE: Watson-Jones approach to provide accessibility to the anterior and supraacetabular part of the iliac bone...
April 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27033278/simultaneous-bilateral-shoulder-and-bilateral-central-acetabular-fracture-dislocation-what-to-do
#18
Hardik Sheth, Abhijeet-Ashok Salunke, Ramesh Panchal, Jimmy Chokshi, G-I Nambi, Saranjeet Singh, Amit Patel, Ranu Sheth
Musculoskeletal injuries following seizures have a high morbidity and mortality. These injuries are often missed and the diagnosis is delayed due to a lack of clinical suspicion and appropriate investigations.We report a case of 72 years old male with simultaneous bilateral central acetabular fracture dislocation and bilateral posterior shoulder fracture dislocation secondary to an epileptic seizure. Present study high- lights the significance of clinical suspicion and clinico-radiological evaluation for diagnosis of a rare injury following episode of seizures...
2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27020781/simultaneous-open-reduction-and-internal-fixation-and-total-hip-arthroplasty-for-the-treatment-of-osteoporotic-acetabular-fractures
#19
Wael Salama, Shazly Mousa, Abdelrahman Khalefa, Ahmed Sleem, Mohamed Kenawey, Laura Ravera, Alessandro Masse
INTRODUCTION: Surgical treatment of acetabular fractures in elderly people is challenging. The main aim of this study is to evaluate retrospectively the indications, results and the complications of simultaneous open reduction and internal fixation (ORIF) and acute total hip replacement (THR) in the management of displaced acetabular fractures. METHODS: This study was performed in an academic level I trauma centre. From January 2011 to December 2014, a consecutive series of 18 patients (eight females), with average age of 66 years (range 35-81 years) who had displaced acetabular fractures were included in our study...
January 2017: International Orthopaedics
https://www.readbyqxmd.com/read/26993257/imaging-of-occult-hip-fractures-ct-or-mri
#20
Haroon Rehman, Rhys G E Clement, Fergus Perks, Timothy O White
OBJECTIVES: Patients presenting with hip pain but normal plain radiographs may ultimately be shown on further investigation to have suffered an occult hip fracture (OHF). This diagnosis can be made with CT or MRI. Traditionally MRI has been considered a superior modality. We performed a retrospective review of all patients presenting to our service with a suspected OHF over a four-year period, investigated with either CT or MRI. DESIGN: Retrospective review. SETTING: Urban trauma centre...
June 2016: Injury
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