Department of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, 1205 Geneva, Switzerland.
Department of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital of Bern, 3010 Bern, Switzerland.
Medicina (Kaunas). 2022 May 1;58(5):630. doi: 10.3390/medicina58050630.
Acetabular peri-prosthetic fractures are rare but their incidence is rising due to the increased prevalence of total hip arthroplasty, the increasing life expectancy and the growing functional demand of an ageing population, the incidence of primary total hip arthroplasty is increasing. They are either intra-operative or post-operative and have various aetiologies. Several factors such as implant stability, bone loss, remaining bone stock, fracture pattern, timing, age and co-morbidities of the patients must be considered for adequate treatment. To date, the literature on this subject has been sparse and no universally recognized treatment algorithm exists. Their rarity makes them a little-known entity and their surgical management represents a challenge for most orthopaedic surgeons. This review aims to present an update on epidemiology, the diagnostic work up, existing classification systems, surgical approaches and therapeutic options for acetabular peri-prosthetic fractures.
髋臼假体周围骨折虽然少见，但由于全髋关节置换术的广泛应用、预期寿命的延长以及人口老龄化对功能需求的增加，其发病率呈上升趋势。初次全髋关节置换术的发病率正在增加。这些骨折可发生在手术过程中或手术后，具有多种病因。对于充分的治疗，必须考虑几个因素，如植入物稳定性、骨量丢失、剩余骨量、骨折模式、时间、患者年龄和合并症等。迄今为止，关于这个主题的文献还很稀少，也没有一个被普遍认可的治疗算法。它们的罕见性使得它们成为一个鲜为人知的实体，它们的手术治疗对大多数骨科医生来说都是一个挑战。本次综述旨在介绍髋臼假体周围骨折的流行病学、诊断评估、现有分类系统、手术入路和治疗选择的最新进展。
