Acute Total Hip Arthroplasty in Acetabular Fractures in the Elderly Using the Octopus System Mid Term to Long Term Follow-Up

被引:18
作者
Malhotra, Rajesh [1 ]
Singh, Davinder Pal [1 ]
Jain, Vaibhav [2 ]
Kumar, Vijay [1 ]
Singh, Ravijot [1 ]
机构
[1] All India Inst Med Sci, Dept Orthopaed, New Delhi 110029, India
[2] All India Inst Med Sci, New Delhi 110029, India
关键词
acetabular fractures; total hip arthroplasty; Octopus system; elderly; cementless; REDUCTION INTERNAL-FIXATION; OPERATIVE TREATMENT; MOLD ARTHROPLASTY; DISLOCATION; REPLACEMENT;
D O I
10.1016/j.arth.2012.12.003
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
Patients older than 55 years presenting with acetabular fractures fulfilling the criteria for acute total hip arthroplasty (THA) were included. Cementless THA was done using the Octopus System and autologous bone grafting. 15 patients were available for latest follow up. The average follow-up was 81.5 months (62-122 months). Mean Harris Hip Score was 91.1. 10 patients were walking without any support while 5 were using a cane. There were no cases of acetabular or femoral component loosening. This method of treatment is promising in the older population as there is deficiency of bone stock which may lead to fixation failures. It is, therefore, worthwhile to recommend primary THA using the Octopus system in the successful management of selected types of acetabular fractures in the elderly. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:1005 / 1009
页数:5
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