Cable fixation and early total hip arthroplasty in the treatment of acetabular fractures in elderly patients.
Eighteen patients with acetabular fractures, with a mean age of 76 years, were treated with cable fixation and acute total hip arthroplasty. Nine were T-shaped fractures, 4 associated transverse and posterior wall, 2 transverse, 2 posterior column and posterior wall, and 1 anterior and posterior hemitransverse fractures. One patient experienced 3 episodes of hip dislocation within 10 months after surgery. All the others had a good outcome at a mean follow-up time of 36 months. Radiographic assessment showed healing of the fracture and a satisfactory alignment of the cup without loosening. This option provides good primary fixation, stabilizes complex acetabular fractures in elderly patients, and permits early postoperative mobilization.
Mouhsine
Elyazid
E
Department of Orthopedic Surgery and Traumatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Garofalo
Raffaele
R
Borens
Olivier
O
Blanc
Claude-Henri
CH
Wettstein
Michael
M
Leyvraz
Pierre François
PF
D000077:Acetabulum / Q000293:injuries*; D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D050723:Fractures, Bone / Q000601:surgery*; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D013997:Time Factors; D016896:Treatment Outcome