Acute total hip arthroplasty for acetabular fractures in the elderly: 11 patients followed for 2 years.
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.
Mouhsine
Elyazid
E
Department of Orthopedic Surgery and Traumatology, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland. elyazid.mouhsine@hosr.hospvd.ch
Garofalo
Raffaele
R
Borens
Olivier
O
Fischer
Jean-François
JF
Crevoisier
Xavier
X
Pelet
Stéphane
S
Blanc
Claude Henri
CH
Leyvraz
Pierre François
PF
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