Die Behandlung von Acetabulumfrakturen bei geriatrischen Patienten mittels modifizierter Kabelcerclage und primärer Hüfttotalprothese. Erste Ergebnisse [Treatment of acetabular fractures in the elderly with primary total hip arthroplasty and modified cerclage. Early results]

Détails

ID Serval
serval:BIB_B6E658870C56
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Die Behandlung von Acetabulumfrakturen bei geriatrischen Patienten mittels modifizierter Kabelcerclage und primärer Hüfttotalprothese. Erste Ergebnisse [Treatment of acetabular fractures in the elderly with primary total hip arthroplasty and modified cerclage. Early results]
Périodique
Der Unfallchirurg
Auteur(s)
Borens O., Wettstein M., Garofalo R., Blanc C.H., Kombot C., Leyvraz P.F., Mouhsine E.
ISSN
0177-5537
Statut éditorial
Publié
Date de publication
2004
Peer-reviewed
Oui
Volume
107
Numéro
11
Pages
1050-6
Langue
allemand
Notes
Publication types: Clinical Trial ; English Abstract ; Journal Article - Publication Status: ppublish
Résumé
This prospective study addresses early results of the treatment of acute acetabular fractures in elderly patients by total hip arthroplasty and cerclage wiring.Fifteen patients with an average age of 81 years were treated at our institution between February 1998 and December 2000. There were two transverse fractures, eight T-shaped fractures, two transverse fractures with associated posterior wall fracture, two posterior column fractures with associated posterior wall fracture, and one fracture of both columns. Treatment consisted of cerclage wiring of the fracture and primary non-cemented total hip replacement.All of the patients were followed for a mean of 36 months. Although there was one patient with three hip dislocations during the first 10 months after the operation, we found an excellent or good result for the entire group. During this relatively short follow-up period, we have not found a radiological loss of fracture reduction of more than 1 mm or a cup migration of more than 3.2 mm. All of the fractures healed and no loosening of the implant was evident.Primary total hip arthroplasty combined with internal fixation is a valid treatment option for acetabular fractures in the elderly. Preliminary results are convincing, but a bigger patient population and a longer follow-up time are necessary before we are able to draw final conclusions.
Mots-clé
Acetabulum, Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip, Bone Wires, Combined Modality Therapy, Female, Follow-Up Studies, Fracture Fixation, Internal, Fracture Healing, Fractures, Bone, Hip Dislocation, Humans, Male, Prospective Studies
Pubmed
Web of science
Création de la notice
24/01/2008 16:13
Dernière modification de la notice
20/08/2019 16:25
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