[Acetabular fractures in elderly persons. Primary endoprosthetic treatment].
In the Department of Traumatology at the University of Ulm, 26 elderly patients with displaced acetabular fractures were treated with primary implantation of a hip joint endoprosthesis between 1986 and 1996. The principles of operative therapy are stabilization of the acetabular ring, grafting of acetabular defects with autogenous corticocancellous bone and cranial buttressing with a reinforcing ring. This concept permits immediate mobilization of elderly patients and full weight-bearing and thus results in favorable early postoperative results. Secondary complications typically caused by immobilization can therefore be avoided.
Hoellen
I P
IP
Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinik Ulm.
Mentzel
M
M
Bischoff
M
M
Kinzl
L
L
D000077:Acetabulum / Q000293:injuries* / Q000601:surgery; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D016025:Bone Transplantation / Q000379:methods*; D004434:Early Ambulation; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D014182:Transplantation, Autologous