Outcomes of Surgical Treatment of Periprosthetic Acetabular Fractures.

Abstract:

:Periprosthetic acetabular fractures sustained following acute trauma after total hip arthroplasty are rare and historically have poor outcomes. This article reviews 5 cases and the treatment algorithm used by a single orthopaedic surgeon specializing in acetabular fracture care with a co-surgeon specializing in arthroplasty. Team-based surgical management with arthroplasty- and fracture-trained surgeon(s) is paramount for optimal outcome. The following approach resulted in satisfactory outcomes without need for revision implants. In fracture patterns with columnar involvement, the columns were restored with plates and screws. In fracture patterns with wall involvement, the acetabular component functioned as a template for wall reconstruction with use of a buttress plate. The acetabular component was revised when deemed loose during stress of the component through the surgical approach used for fracture fixation.

journal_name

J Orthop Trauma

authors

Hickerson LE,Zbeda RM,Gadinsky NE,Wellman DS,Helfet DL

doi

10.1097/BOT.0000000000001400

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

S49-S54

eissn

0890-5339

issn

1531-2291

pii

00005131-201902002-00012

journal_volume

33 Suppl 2

pub_type

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