Percutaneous column fixation and total hip arthroplasty for the treatment of acute acetabular fracture in the elderly.
We used our database of primary total hip arthroplasties to identify those patients who had acetabular fractures fixed with percutaneous screws under the same anesthesia as for the arthroplasty procedure. There were 19 patients with the average follow-up of 22 months. Fourteen patients sustained the fracture secondary to a low-energy trauma, while the remaining patients were involved in a high-energy trauma accident. The mean survival time was calculated to be 2.5 ± 0.6 years for the low-energy group and 4 ± 1.4 years for the high-energy group. We believe that this unique treatment of acetabular fractures has a role in carefully selected patients and provides the necessary reduction and immediate stability of the fracture needed to ensure adequate fit for the acetabular cup in the subsequent THA.
Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Rajit
R
Chakravarty
Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Nader
N
Toossi
Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Anna
A
Katsman
Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Douglas L
DL
Cerynik
Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Susan P
SP
Harding
Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Norman A
NA
Johanson
D000077:Acetabulum / Q000293:injuries / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
acetabular fracture; elderly; mortality; percutaneous screw fixation; total hip arthroplasty