Acute total hip replacement by direct anterior approach combined with intrapelvic fixation for geriatric acetabular fracture of the anterior column - 01/11/23
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Abstract |
Management of anterior column acetabular fracture in the elderly is challenging. Open reduction and internal fixation do not allow early weight bearing and are associated with a high risk of failure compared to younger patients. Therefore, acute fixation and total hip arthroplasty may be an option. This technical note describes a combined procedure: anterior intrapelvic approach for fracture fixation and a direct anterior approach to the hip for THR. Fracture reduction and arthroplasty were achievable in all five patients. The mean operative time was 289min, and the mean blood loss was 2120mL. At short term, no complication was noticed. Combining these two “muscle-sparing” approaches could help manage anterior column fractures in elderly patients. Level of evidence: IV.
El texto completo de este artículo está disponible en PDF.Keywords : Anterior column fracture, Anterior intrapelvic approach, Direct anterior approach, Total hip replacement, Geriatric fracture
Abbreviations : ORIF, THR, AIP, DAA, PWB, DVT, AIIS
Esquema
Vol 109 - N° 7
Artículo 103617- novembre 2023 Regresar al número
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.