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Acetabular Fracture - Crossref

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Last Updated: 10 November 2022

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Patients with Small Acetabular Cartilage Defects Caused by Femoroacetabular Impingement Do Not Benefit from Microfracture

Patients with small chondral defects of the hip joint may be able to benefit from microfracture, according to We investigated. Design: In this retrospective multicenter cohort study, 40 patients with focal acetabular cartilage defects less than 100 mm2 and of ICRS grade u22652 caused by femoroacetabular impingement were included. Results: Compared to the preoperative score, the untreated group produced statistically significant improvements in the iHOT33 after 12, 24, and 36 months, compared to the preoperative score, whereas the iHOT33 in the microfracture group did not show statistically significant changes over time. Conclusion: The subjective outcome of patients with small cartilage abnormalities of the hip improves 12 months after arthroscopic FAIS surgery without any cartilage repair was provided. Consequently, if simultaneous impingement correction is performed, a reserved surgical correction for minor cartilage defects of the hip under preserving the subchondral bone is highly recommended.

Source link: https://doi.org/10.3390/jcm11216283


Acetabulum - Predictors of postoperative outcome for acetabular fracture

Introduction: The most common acetabular fracture is posterior wall acetabular fracture. Surgery is the only treatment for displaced posterior acetabular wall fractures. In this retrospective review, the clinical and radiologic findings of open reduction and internal fixation in patients with posterior wall acetabular fractures are investigated. Methods: 50 patients with displaced acetabular fractures treated surgically were rated clinically with the Modified Postel Merle d'Au00e9 score and radiologically using Matta's radiological outcome grading. On average, the Modified Postel Merle's score was 15. 7 u00b1 2. 2 on average. Initial fracture displacement > 20 mm, joint dislocation, and surgery postponement, was a major influence on the Modified Postel Merle d'Au00e9's score, although consistency of reduction and presence of related injuries had a major influence on the Modified Postel Merle d'Aubignyu00e9's score.

Source link: https://doi.org/10.5455/ijmrcr.172-1667014673


974 Fragility Fractures of the Hip: A Matched Cohort Study of Acetabular Fractures and Neck of Femur Fractures

We present the largest cohort of surgically treated acetabular geriatric patients in the United Kingdom, comparing risks and mortality, as well as comparing them to patients with neck of femur fractures. Methods A retrospective analysis of a prospectively gathered acetabular database was carried out. All patients over the age of 60 who had an acetabular fracture from 2015 to 2020 were identified as having an operative fixation. To compare patient outcomes and cohort demographics, we cohort-matched these patients with neck of femur fractures during the same period. 204 patients were included in the study, which was surprising. The average length of stay for acetabular fractures was 25 days. According to acetabular fractures and neck of femur fractures, respectively, in-hospital mortality was between 3% and 10%. Conclusion The geriatric acetabular fractures and the neck of femur fractures are similar in demographic data, according to the author. Geriatric acetabular fractures are associated with longer stays than fractures of the neck.

Source link: https://doi.org/10.1093/bjs/znac269.486


The Reconstruction Accuracy of the Hip Center of Rotation After Cementless Total Hip Arthroplasty for Failed Treatment of Acetabular Fractures. Does It Matter?

Background: The aim of this review is to determine the accuracy of hip center of rotation reconstruction after failed treatment of acetabular fractures. Methods One hundred and four patients who underwent THAs after unsuccessful treatment of acetabular fractures were retrospectively examined, and cementless cups and stems were installed in all hips. At the most recent follow-up study, positive Trendelenburg results were correlated with superior migration of reconstructed COR. In the superior migration subgroup with anatomical restoration of COR, the percentage of postoperative Trendelenburg sign was much higher than that in the subgroup with anatomical reconstruction of COR. Conclusions and radiographic findings have been consistent with clerical fracture treatment, resulting in predictable clinical and radiographic findings.

Source link: https://doi.org/10.21203/rs.3.rs-1057572/v1


Management of intraoperative acetabular fracture in primary total hip arthroplasty

24 patients had intraoperative acetabular fractures, according to our Total Joint Registry Database. Twenty patientsunderwent additional screw fixation, of which two patients were treated with steel plate fixation. Patients were compared clinically with Harris Hip Scores and radiographically with serial X-rays which follow up for a median of 34. 0 – 12. 6 months. Six patients with Ankylosing Spondylitis fractured fractures, 4 in the anterior wall and one in the anterior column, with one in the anterior column, because the patient with hip joint fusion needs a to pre-osteotomy before the dislocation. The fracture did not move, and there is no transparent line in the acetabular cup bone interface, according to all of the new x-rays, and there is no translucent line in the acetabular cup bone interface. Patients with ankylosing spondylitis affecting hip joints during THA surgery should be cautious to avoid IAFs during dislocation and pre-osteotomy.

Source link: https://doi.org/10.1186/s12891-020-03356-5


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

This research was conducted to determine the displacement pattern of anterior column and posterior column fragments in BCAFs using 3D virtual software. Images from Computed tomography images were imported into Mimics software. According to Mann's U2013Whitney U test and the binomial test, respectively, the measurements of positional and directional displacement were determined. PC fragments advanced superomediously and moved more at the proximal end than the distal one. In the fracture area further away from the acetabulum, greater AC displacement was recorded. For the AC than the PC, greater rotation was seen on the AC than for the PC. There are regular patterns regarding the direction and distance of AC and PC fragment displacement displacements after a BCAF's operation. Orthopaedic trauma surgeons may be able to gain insight into the injury mechanism and fracture morphology, as well as assist surgical decision-making for orthopaedic trauma surgeons.

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


Operative management of acetabular fractures in the elderly: a case series

Methods A retrospective review of all patients presenting to a Level I Trauma Centre over a 13-year period was done following institutional review board approval. Sixteen patients required a THA as a secondary therapy due to symptomatic post-traumatic arthritis, five of whom were waiting for a THA within a year from the initial injury. The only factor linked to an elevated risk of HO cell formation was a surgical approach. At 90. 1 months, the median post-operative survival after an acetabular fracture treated with ORIF was estimated at 90. 1 months. THA conversion to THA was 25. 8%, with 8. 8% undergoing the arthroplasty procedure within a year of the initial trauma surgery.

Source link: https://doi.org/10.1007/s00068-022-02129-0


Morphological analysis of the posterior elements of associated both-column acetabular fractures

Background: It's also unknown if a posterior approach is used to reduce the posterior fractures of associated both-column acetabular fractures. Objectives: To provide a reference for surgical planning, the aim of this paper is to investigate the morphological shifts in the posterior limbs, including the posterior column and/or related posterior wall fragments. Results Fracture lines on RAS varied in three styles: transverse lines on the cephalic and caudal thirds; oblique lines on the mid-caudal thirds; and multifragmentary lines. In 80. 3% of cases, the mean length of the spike of PW fragments was > 20 mm. Discussion of PC fractures on the cephalic third of RAS demonstrated a possibility of the anterior approach, according to transverse lines on the distal third or oblique and multifragmentary lines, the posterior approach is preferred.

Source link: https://doi.org/10.1177/02841851221132432


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. The patient suffered a cardiogenic shock during the second stage, so a third surgical procedure was required to implant THA. Targeted antibiotic therapy was administered eight weeks after the first stage, with the disease resolving.

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


WHICH PROBLEMATICS IN THA AFTER ACETABULAR FRACTURES: EXPERIENCE OF 38 CASES

Background within an eight-year time span, 38 patients have undergone complete hip replacement surgery for coxarthrosis or aseptic necrosis secondary to acetabulum fractures. At seven, fourtheen et twenty-seven months respectively, three patients recovered after surgical revision with implant exchange following infection and one-two state reimplatation. Conclusions The aim of the study was to identify all of the potential surgical risks that can be related to prosthetic implants. Hip implants after acetabulum fractures qualifies as a "difficult primary implant"u201d.

Source link: https://doi.org/10.52965/001c.38611

* 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