Percutaneous column fixation and total hip arthroplasty for the treatment of acute acetabular fracture in the elderly.
We used our database of primary total hip arthroplasties to identify those patients who had acetabular fractures fixed with percutaneous screws under the same anesthesia as for the arthroplasty procedure. There were 19 patients with the average follow-up of 22 months. Fourteen patients sustained the fracture secondary to a low-energy trauma, while the remaining patients were involved in a high-energy trauma accident. The mean survival time was calculated to be 2.5 ± 0.6 years for the low-energy group and 4 ± 1.4 years for the high-energy group. We believe that this unique treatment of acetabular fractures has a role in carefully selected patients and provides the necessary reduction and immediate stability of the fracture needed to ensure adequate fit for the acetabular cup in the subsequent THA.
['Chakravarty|Rajit|R|', 'Toossi|Nader|N|', 'Katsman|Anna|A|', 'Cerynik|Douglas L|DL|', 'Harding|Susan P|SP|', 'Johanson|Norman A|NA|']
D000077:Acetabulum D000368:Aged D000369:Aged, 80 and over D019644:Arthroplasty, Replacement, Hip D001863:Bone Screws D005260:Female D005593:Fracture Fixation, Internal D050723:Fractures, Bone D006801:Humans D008297:Male D008875:Middle Aged D016896:Treatment Outcome
total hip arthroplasty acetabular fracture elderly mortality percutaneous screw fixation