Hoellen I P, Mentzel M, Bischoff M, Kinzl L
Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinik Ulm, Germany.
Orthopade. 1997 Apr;26(4):348-353. doi: 10.1007/PL00003390.
In the Department of Traumatology at the University of Ulm, 26 elderly patients with displaced acetabular fractures were treated with primary implantation of a hip joint endoprosthesis between 1986 and 1996. The principles of operative therapy are stabilization of the acetabular ring, grafting of acetabular defects with autogenous corticocancellous bone and cranial buttressing with a reinforcing ring. This concept permits immediate mobilization of elderly patients and full weight-bearing and thus results in favorable early postoperative results. Secondary complications typically caused by immobilization can therefore be avoided.
1986年至1996年间，乌尔姆大学创伤科对26例移位髋臼骨折的老年患者进行了髋关节假体一期植入治疗。手术治疗的原则是稳定髋臼环，用自体皮质松质骨移植髋臼缺损处，并用加强环进行颅骨支撑。这一理念允许老年患者立即活动并完全负重，从而产生良好的术后早期效果。因此，可以避免通常由固定引起的继发性并发症。
