Murphy Colin G, Carrothers Andrew D
Department of Trauma and Orthopaedics, Addenbrooke's Cambridge University Hospital, Cambridge, UK.
Clin Cases Miner Bone Metab. 2016 Sep-Dec;13(3):228-233. doi: 10.11138/ccmbm/2016.13.3.228. Epub 2017 Feb 10.
Although technically challenging even for the experienced surgeon, simultaneous open reduction and internal fixation (ORIF) of acetabular fracture and total hip replacement (THR) have some potential advantages over the more traditional treatment options in specific patient subgroups; theoretically allowing immediate weight bearing and faster rehabilitation, reducing the cost of inpatient stay, and reducing the risks of early and late local complications associated with standard treatment for this type of injury. We review the evolution of the indications and techniques, outline the surgical challenges, and discuss implant options and outcomes for this treatment paradigm.
尽管即使对于经验丰富的外科医生来说,髋臼骨折的同时切开复位内固定(ORIF)和全髋关节置换(THR)在技术上也具有挑战性,但在特定患者亚组中,与更传统的治疗选择相比,它具有一些潜在优势;理论上允许立即负重和更快康复,降低住院成本,并降低与这类损伤的标准治疗相关的早期和晚期局部并发症风险。我们回顾了适应证和技术的演变,概述了手术挑战,并讨论了这种治疗模式的植入物选择和结果。