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