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Acetabular - DOAJ

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Last Updated: 10 November 2022

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Both‐Column Acetabular Fractures: Should Pelvic Ring Reduction or Acetabulum be Performed First?

Both the pelvis and acetabular fracture are common in acetabular fractures, and they are associated with a variety of fracture fragments. The selection of different reduction landmarks and sequences produces different characteristics of reduction. Methods An ongoing cohort of 42 patients with BCAF from January 2013 to January 2019 were treated operatively with different reduction milestones and sequences: pelvic ring fractures reduction first and acetabular fracture reduction first. In the AFRF group, there were 22 patients in the PRFRF group and 20 in the AFRF group. Conclusions The real reduction process in both groups was almost identical to the preoperative surgical procedures. The outstanding/good quality of reduction in the PRFRF group was higher than that of the AFRF group. In the PRFRF group, operational time and intra-u2010operative blood loss were significantly reduced. The prevalence of deep vein thrombosis in the PRFRF group was less than that of the AFRF group, but not without statistical evidence.

Source link: https://doi.org/10.1111/os.13493


Displacement Pattern of Anterior and Posterior Column Fragments in Both-Column Acetabular Fractures: A 3D Reconstruction-Based Study

Displacement of both-column acetabular fractures has been found in few studies. Using 3D virtual software, the aim of this research was to investigate the displacement pattern of anterior column and posterior column fragments in BCAFs. Images from Computed tomography were loaded into Mimics software. AC fragments were expected to shift superomediously and then spin externally, and then spiral spirally. In addition, the posteroinferior fracture area of AC fragments of AC fragments demonstrated the largest displacement. PC fragments moved more at the proximal end than the distal end, and more at the proximal end than the distal end. In the fracture area further away from the acetabulum, greater AC displacement was observed. There are regular patterns regarding the direction and distance of AC and PC fragment displacement after a BCAF takes place. Orthopaedic trauma surgeons' surgical decision-making may help resolve injuries and fracture morphology and aid surgical decision-making.

Source link: https://doi.org/10.1155/2022/3556357


Fracture-Related Infection in Bicolumnar Acetabular Fracture: A Case Report

Case: After a bicolumnar acetabular fracture, a 51-year-old man was affected by a fracture-related infection. In the first stage, implant removal with irrigation and debridement was carried out, but a new osteosynthesis and implant of a THA were planned. Conclusions: Following the new guidelines and treating it as a periprosthetic infection with a two-stage revision, the infection was successfully treated.

Source link: https://doi.org/10.3390/diagnostics12102476


Laser projector method for measuring postoperative acetabular anteversion after total hip replacement

Methods and Measures We retrospectively obtained 50 postoperative pelvis radiographs, including acetabulum from our hospital, in comparison to our original software, Elliversion. Materials and Methods As the experimental group, two operators independently used the laser projector for experiments in two separate times at 1-day intervals. ConclusionThe estimated effect in the anteversion measurement between Elliversion and laser projector was also similar, with the ICC level being 0. 984, indicating high stability. ConclusionThis study found no significant difference between Elliversion and Laser projector, with good intra- and inter-observer reliability. We look forward to helping enhance clinical acumen as doctors provide medical assistance to patients after THR, particularly in rural areas.

Source link: https://doi.org/10.3389/fsurg.2022.1033453


Accuracy and Precision of Acetabular Component Position Does Not Differ Between the Anterior and Posterior Approaches to Total Hip Arthroplasty With Robotic Assistance: A Matched-Pair Analysis

Background: Deviation from proposed component placement for robot-assisted total hip arthroplasty may vary based on surgical strategy. Using RA-THA's direct anterior or posterior approach, the aim of this study was to determine radiographic reliability and precision of acetabular component position using RA-THA. Methods: 134 PA RA-THA patients were matched to 134 DAA RA-THA patients between 2016 and 2019, based on age, body mass index, and sex. Accuracy of acetabular component inclination in the PA cohort was less robust than that in the DAA cohort.

Source link: https://doi.org/10.1016/j.artd.2022.08.004


Case report: Three-dimensionally printed patient-specific acetabular cage for revision surgery of aseptic loosening in a dog with micro total hip replacement

After a micro total hip replacement 16 months prior to presentation, a 2-year-old castrated male Pomeranian dog was presented for a regular follow-up. Since the dog was incompatible with the conventional THR revision procedure due to severe bone damage in the acetabulum, a patient-specific titanium acetabular cage prosthesis with biflanges and one caudal screw hole was developed for revision surgery. Without external rotation of the left hind leg two weeks postoperatively, the dog maintained almost normal limb function. On radiographic images 3 years after revision surgery, Bone reconstruction and stable implant position were noted, with no signs of loosening, according to radiographic photographs. Based on the clinical findings, a custom-made acetabular prosthesis may be an effective treatment option for revision arthroplasty in acetabula with significant bone loss and structural changes in small-breed dogs.

Source link: https://doi.org/10.3389/fvets.2022.915639


Constrained acetabular liners are a viable option in second-stage re-implantation for chronic infected total hip arthroplasty with abductor or greater trochanter deficiency and large acetabular bone defects

At second-stage re-implantation for chronic infected total hip arthroplasty, we report the results of using CALs in special cases in which abductor or greater trochanter deficiency was followed by significant acetabular bone defects. Participants in this review were divided into two groups: patients with CALs during second-stage re-implantation and causing abductor or greater trochanter deficiency, as well as large acetabular bone defects in January 2010 and January 2018. At second-stage re-implantation, eight patients, four patients, and seven patients were diagnosed with Paprosky type IIB, type IIC, and type IIIA acetabular bone defects. In the other 5 patients, the reason for using CALs was abductor deficiency in 14 patients and greater trochanter deficiency. Conclusion The results of our research showed that CALs were a safe option in second-stage re-implantation for chronic infected THA with abductor or greater trochanter deficiency and large bone defects.

Source link: https://doi.org/10.1186/s12891-022-05861-1


Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence

Femoro-acetabular impingement syndrome is one of the most common disorders in sports medicine. For treating FAI, surgical or conservative options can be suggested, but the right standard of care is yet to be established. Our aim is to publish a comprehensive report of the best treatment for FAI syndrome in FAI syndrome, focusing on differences in outcomes between surgical and non-operative management. Only Level I RCTs were included in the study. Our review shows that both arthroscopic therapy and a structured program of physical therapy are effective, but a surgical approach gave superior short-term results when compared to conservative care only.

Source link: https://doi.org/10.3390/jcm11195852


Spring plate for fixation of comminuted posterior wall acetabular fractures

Introduction: Comminuted posterior wall acetabular fractures are always difficult and difficult to assemble and maintain with surgical care, without any intraoperative or postoperative complications and positive functional outcomes. Hence, correct selection of implant and correct technique are always important steps in the surgical treatment of comminuted posterior wall fractures of the acetabulum. Methods: We conducted a retrospective observational study on 16 patients who were treated at Patna Medical College and Hospital, Patna, between July 2016 and December 2017. All patients with comminuted posterior wall fractures treated with locally produced spring plates placed under 3. 5 mm pelvic reconstruction plates were analyzed radiographically and with previous Harris Hip Scores. Conclusion: Our report shows that locally made spring plates placed under 3. 5 mm pelvic reconstruction plates are a good fixation technique in the care of comminuted posterior wall fractures.

Source link: https://doi.org/10.4103/jodp.jodp_25_21

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions