Acute total hip arthroplasty for acetabular fractures in the elderly: 11 patients followed for 2 years

  • Mouhsine E
  • Garofalo R
  • Borens O
 et al. 
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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 post-operative mobilization.

Author-supplied keywords

  • acetabulum fracture
  • aged
  • article
  • clinical article
  • follow up
  • fracture fixation
  • fracture healing
  • hip radiography
  • human
  • mobilization
  • surgical technique
  • total hip prosthesis
  • treatment outcome

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Authors

  • E Mouhsine

  • R Garofalo

  • O Borens

  • J.-F. Fischer

  • X Crevoisier

  • S Pelet

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