Stabilization of an acetabular fracture with cables for acute total hip arthroplasty |
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| Affiliation: | 1. Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York, USA;2. Department of Orthopaedic Surgery, Kurume University School of Medicine, Kurume, Japan;1. Fracture and Damage Mechanics (FDM) SIG, School of Mechatronic Engineering, Universiti Malaysia Perlis (UniMAP), 02600 Arau, Perlis, Malaysia;2. Hospital Tuanku Fauziah, 01000 Kangar, Perlis, Malaysia;1. Division of Pediatric Allergy and Immunology, Johns Hopkins University School of Medicine, Baltimore, Md;2. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md;1. Duke University School of Medicine, Durham, North Carolina;2. Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina;3. Department of Surgery, Division of Trauma, Acute, and Critical Care Surgery, Duke University School of Medicine, Durham, North Carolina;4. Department of Surgery, Division of Trauma, Critical Care, and Emergency Surgery, University of Pennsylvania, Philadelphia, Pennsylvania;1. Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA;2. Department of Spine Surgery, Indian Spinal Injuries Centre, New Delhi, India;3. CellNetix Pathology, Seattle, Washington, USA;4. Seattle Science Foundation, Seattle, Washington, USA;5. Department of Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University, Bochum, Germany;6. Department of Anatomical Sciences, St. George''s University, Grenada, West Indies;1. Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Punjab, 151001, India;2. Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India;3. Muskuloskelettales Zentrum Klinikum Neumarkt, Akademisches Lehrkrankenhaus der Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberger Str. 12, D-92318, Neumarkt i. d. OPf., Germany;4. Orthopaedic Surgery, Manipal Hospitals, Bangalore, India;5. Institute of Orthopedic Surgery, Max Super Speciality Hospital, Mohali, India |
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| Abstract: | A critical stage of total hip arthroplasty for an acute acetabular fracture where extensive comminution, impaction, and osteopenia thwart the application of conventional open or closed methods, especially in the elderly, is stable fixation of the acetabulum. The use of 2-mm braided cables permits effective immobilization of the fracture for use in conjunction with a hybrid arthroplasty. The method is consistent with the use of a conventional arthroplastic incision and is suitable for other applications including the fixation of periprosthetic fractures, bulk allografts, and conventional acetabular fractures. |
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