Fixation plus acute arthroplasty for acetabular fracture in eldery patients
Alessandro Aprato1, Matteo Giachino1, Domenico Messina1
1School of Medicine, University of Turin, Turin, Italy.
Objective:
in elderly patients reduction and fixation of acetabular fractures showed poor outcomes in fracture patterns where cartilage comminution/impaction and/or femoral head dislocation are present; acute arthroplasty with standard uncemented hemispherical cups and posterior plating has been recently proposed, we report on its safety and effectiveness.
Methods:
we used this technique to manage 67 displaced acetabular fracture but both column in patients older than 65 years old.
Results:
fractures of posterior column and/or wall with severe cartilage involvement may be treated safely with acute THA.
Conclusions:
Good results in complex fracture patterns may also be achieved.
