Mid-term results of the treatment of complex acetabular fractures with combined acute fixation and total hip replacement in the older patient

被引：2
|
作者：
Bassett, James W. [1 ,2 ]
Diamond, Owen J. [1 ]
Spence, David J. [1 ]
Ward, Anthony J. [1 ]
Acharya, Mehool R. [1 ]
Chesser, Tim J. S. [1 ]
机构：
[1] North Bristol NHS Trust, Trauma & Orthopaed, Bristol, England
[2] Southmead Hosp, North Bristol NHS Trust Trauma & Orthopaed, Southmead Rd, Bristol BS10 5NB, England
来源：
HIP INTERNATIONAL | 2023年 / 33卷 / 06期
关键词：
Acetabular fracture; acute THR; fix and replace; REDUCTION INTERNAL-FIXATION; ARTHROPLASTY;
D O I：
10.1177/11207000221145437
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Introduction: The incidence of acetabular fractures in older patients is increasing. The management of these patients is evolving due to the recognition of risks associated with prolonged immobility with conservative treatment. Materials and methods: Consecutive patients undergoing fixation and total hip replacement (THR) for displaced acetabular fractures undergoing single operation with acetabular fixation and THR were identified. Outcomes were assessed using radiographs, clinical notes, Oxford Hip Score and EuroQol-5L. Results: 77 patients were identified with 51 completing outcome scores. Mean age 68 years at time of injury. Mean follow-up 5 (2-12) years, OHS 40, EQ-5D 0.78. Revision surgery performed in 7 patients (9%). Discussion: Acute fixation combined with THR for acetabular fractures in the elderly patient, offers good functional outcomes and a low complication rate in the mid-term.
引用
收藏
页码：1093 / 1099
页数：7
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