title: Cup-cage construct for acute fractures of the acetabulum, re-defining indications.
abstract: Acetabular fractures in the elderly are challenging injuries. The use of a trabecular metal acetabular cage was investigated as the treatment option in a series of elderly patients with acetabular fractures. At a 2-year follow up, 6 elderly patients were found to have mimimum pain, increased function, and increased scores using the Merle d'Aubigné and Postel system modified by Charnley. Radiographically, the areas of morsellised autograft that surrounded the cups were seen to have incorporated uniformly well, and the acetabular fractures were healed within six months after surgery. No mechanical failure, screw breakage, loosening, or migration was noticed. This novel indication of the cup-cage construction that uses revision techniques, for selected patients and fractures, to achieve an acute stable reconstruction, should be considered as an alternative reconstruction option in elderly patients presenting with acetabular fractures.
authors.affiliation: Department of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, Madrid, Spain. chanaphd@yahoo.es
authors.forename: Francisco
authors.initials: F
authors.lastname: Chana-Rodríguez
authors.forename: Manuel
authors.initials: M
authors.lastname: Villanueva-Martínez
authors.forename: Jose
authors.initials: J
authors.lastname: Rojo-Manaute
authors.forename: Pablo
authors.initials: P
authors.lastname: Sanz-Ruíz
authors.forename: Javier
authors.initials: J
authors.lastname: Vaquero-Martín
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D010014:Osteolysis; D010024:Osteoporosis / Q000150:complications; D011379:Prognosis; D011474:Prosthesis Design; D011859:Radiography; D016059:Range of Motion, Articular; D012086:Reoperation / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014853:Walkers; D016474:Weight-Bearing