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Related Concept Videos

Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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[Periprosthetic Acetabulum Fractures].

A J Schreiner1, F Stuby1, P M de Zwart1

  • 1Klinik für Unfall- und Wiederherstellungschirurgie, BG-Unfallklinik Tübingen.

Zeitschrift Fur Orthopadie Und Unfallchirurgie
|October 7, 2016
PubMed
Summary
This summary is machine-generated.

Periprosthetic acetabular fractures are rare but increasing complications following hip replacement surgery. Expert management is crucial due to complex surgical challenges and varied causes.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Periprosthetic acetabular fractures are uncommon complications of hip arthroplasty, unlike femoral fractures.
  • Literature on acetabular fractures is sparse, lacking long-term outcome data.
  • Increasing life expectancy and joint replacement rates predict a rise in these fractures.

Purpose of the Study:

  • To review the incidence, causes, and management of periprosthetic acetabular fractures.
  • To highlight the challenges and importance of expert surgical intervention.

Main Methods:

  • Literature review of case reports and existing studies on periprosthetic acetabular fractures.
  • Analysis of fracture types (intraoperative, postoperative, traumatic) and their etiologies.
  • Discussion of conservative versus surgical treatment strategies.

Main Results:

  • Fractures can occur intraoperatively (cementless components, revision) or postoperatively (osteolysis, wear, trauma).
  • Conservative treatment is indicated for stable, non-dislocated fractures.
  • Surgical treatment involves diverse techniques and approaches, requiring specialized expertise.

Conclusions:

  • Periprosthetic acetabular fractures require careful consideration of patient, fracture, and prosthetic factors.
  • Management should be undertaken by specialists in pelvic surgery and revision arthroplasty.
  • Further research is needed to establish long-term results and optimal treatment protocols.