老年患者髋臼骨折的固定加急性关节成形术
Fixation plus acute arthroplasty for acetabular fracture in eldery patients.
作者信息
Aprato Alessandro, Giachino Matteo, Messina Domenico, Massé Alessandro
机构信息
School of Medicine, University of Turin, Turin, Italy.
出版信息
J Orthop. 2020 Sep 19;21:523-527. doi: 10.1016/j.jor.2020.09.012. eCollection 2020 Sep-Oct.
Abstract
OBJECTIVE
in elderly patients reduction and fixation of acetabular fractures showed poor outcomes in fracture patterns where cartilage comminution/impaction and/or femoral head dislocation are present; acute arthroplasty with standard uncemented hemispherical cups and posterior plating has been recently proposed, we report on its safety and effectiveness.
METHODS
we used this technique to manage 67 displaced acetabular fracture but both column in patients older than 65 years old.
RESULTS
fractures of posterior column and/or wall with severe cartilage involvement may be treated safely with acute THA.
CONCLUSIONS
Good results in complex fracture patterns may also be achieved.
摘要
目的
在老年患者中，髋臼骨折的复位与固定在存在软骨粉碎/嵌顿和/或股骨头脱位的骨折类型中显示出较差的结果；最近有人提出采用标准非骨水泥半球形髋臼杯和后路钢板进行急性关节置换术，我们报告其安全性和有效性。
方法
我们采用该技术治疗67例65岁以上患者的双侧髋臼移位骨折。
结果
后柱和/或后壁骨折伴严重软骨损伤可通过急性全髋关节置换术安全治疗。
结论
在复杂骨折类型中也可取得良好效果。
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