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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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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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Fix and replace; an emerging paradigm for treating acetabular fractures.

Colin G Murphy1, Andrew D Carrothers1

  • 1Department of Trauma and Orthopaedics, Addenbrooke's Cambridge University Hospital, Cambridge, UK.

Clinical Cases in Mineral and Bone Metabolism : the Official Journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
|February 24, 2017
PubMed
Summary

Simultaneous open reduction and internal fixation (ORIF) with total hip replacement (THR) offers potential benefits for select acetabular fracture patients, including faster recovery and fewer complications.

Keywords:
acetabular fracturesfragility fracturehip arthroplastyosteoporosistrauma

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Arthroplasty

Background:

  • Acetabular fractures often require complex surgical management.
  • Traditional treatments may lead to prolonged recovery and complications.
  • Simultaneous ORIF and THR is an alternative approach for specific patient groups.

Purpose of the Study:

  • To review the evolution of indications and techniques for simultaneous ORIF and THR in acetabular fractures.
  • To outline the surgical challenges associated with this combined procedure.
  • To discuss implant options and patient outcomes.

Main Methods:

  • Literature review of simultaneous open reduction and internal fixation (ORIF) and total hip replacement (THR) for acetabular fractures.
  • Analysis of surgical techniques, indications, and contraindications.
  • Review of available implant options and reported outcomes.

Main Results:

  • Simultaneous ORIF and THR may allow for immediate weight-bearing and faster rehabilitation.
  • This approach has the potential to reduce inpatient stay costs.
  • It may also decrease the risk of early and late local complications compared to standard treatments.

Conclusions:

  • Simultaneous ORIF and THR is a technically demanding but potentially advantageous option for specific acetabular fracture patients.
  • Careful patient selection and surgical planning are crucial for successful outcomes.
  • Further research may elucidate optimal techniques and long-term results.