Jauregui Julio J, Clayton Adrian, Kapadia Bhaveen H, Cherian Jeffrey J, Issa Kimona, Mont Michael A
Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
Expert Rev Med Devices. 2015 May;12(3):287-95. doi: 10.1586/17434440.2015.1009828. Epub 2015 Feb 5.
There have been many advances in the treatment of acetabular fractures; however, the role of total hip arthroplasty (THA) as part of acute fracture management is not well-defined. The indications to acutely manage an acetabular fracture with THA include patients who were older than 65 years of age, who had extensive intra-articular comminution, impaction of the acetabular dome, a displaced-impacted femoral neck fracture, presented with severe osteopenia or osteoporosis, or preexisting osteoarthritis. Implant survivorship and clinical outcomes were favorable with low complications when managing an acetabular fracture with THA. THA may be an effective option for treating acetabular fractures in appropriately selected patients.
髋臼骨折的治疗已经取得了许多进展；然而，全髋关节置换术（THA）作为急性骨折处理一部分的作用尚未明确界定。采用THA急性处理髋臼骨折的指征包括年龄超过65岁、存在广泛关节内粉碎、髋臼顶嵌插、移位嵌插型股骨颈骨折、严重骨质减少或骨质疏松，或已有骨关节炎的患者。用THA处理髋臼骨折时，植入物生存率和临床结果良好，并发症发生率低。对于适当选择的患者，THA可能是治疗髋臼骨折的有效选择。
