title: Acute total hip arthroplasty for acetabular fractures in the elderly: 11 patients followed for 2 years.
abstract: 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. 1 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.
authors.affiliation: Department of Orthopedic Surgery and Traumatology, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland. elyazid.mouhsine@hosr.hospvd.ch
authors.forename: Elyazid
authors.initials: E
authors.lastname: Mouhsine
authors.forename: Raffaele
authors.initials: R
authors.lastname: Garofalo
authors.forename: Olivier
authors.initials: O
authors.lastname: Borens
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Fischer
authors.forename: Xavier
authors.initials: X
authors.lastname: Crevoisier
authors.forename: Stéphane
authors.initials: S
authors.lastname: Pelet
authors.forename: Claude Henri
authors.initials: CH
authors.lastname: Blanc
authors.forename: Pierre François
authors.initials: PF
authors.lastname: Leyvraz
mesh_terms: D000077:Acetabulum / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D001864:Bone Wires; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011859:Radiography; D020127:Recovery of Function / Q000502:physiology; D013997:Time Factors