WHICH PROBLEMATICS IN THA AFTER ACETABULAR FRACTURES: EXPERIENCE OF 38 CASES.

IF 1.4 Q3 ORTHOPEDICS Orthopedic Reviews Pub Date : 2022-10-13 eCollection Date: 2022-01-01 DOI:10.52965/001c.38611

Fabio Zanchini, Antonio Piscopo, Luigi Aurelio Nasto, Davide Piscopo, Alessia Boemio, Stefano Cacciapuoti, Giuseppe Iodice, Valerio Cipolloni, Federico Fusini

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Abstract

Background: Within a timeframe of 8 years (2008-2016), 38 patients have undergone total hip replacement surgery for coxarthrosis or aseptic necrosis secondary to acetabulum fractures.

Materials and methods: The study included 27 males and 11 females between 42 and 70 years of age, all of whom came from other institutions. The follow-up period ranged between a minimum of 4.6 and a maximum of 9.7 years.

Results: At the final follow-up, all patients were evaluated using the Merle D'Aubigne and Pastel model. Optimal results were found in all the cases. Three patients benefited from surgical revisitation with implant exchange following infection and one/two state reimplatation at seven, fourtheen et twenty-seven months respectively. Two patients benefited from cotyle revision due to chronic instability of the implant.

Conclusions: The scope of the study was to present all the possible surgical difficulties that can come up with prosthetic implants. More particularly, hip implants after acetabulum fractures qualifies as a "difficult primary implant".

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髋臼骨折后矫治的问题:附38例体会。

背景:在8年(2008-2016)的时间框架内，38例患者因髋臼骨折继发的髋关节或无菌性坏死接受了全髋关节置换术。材料与方法:研究对象为男性27人，女性11人，年龄42 ~ 70岁，均来自其他机构。随访时间最少为4.6年，最长为9.7年。结果:在最后随访时，所有患者均采用Merle D'Aubigne和Pastel模型进行评估。在所有情况下均获得了最佳结果。3例患者分别在7个月、14个月和27个月接受了感染后再次手术并进行了种植体置换和一/二状态再种植。由于种植体的慢性不稳定，2例患者受益于子叶修复。结论:本研究的范围是提出所有可能的手术困难，可以提出假体植入。更具体地说，髋臼骨折后的髋关节植入物属于“困难的初级植入物”。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopedic Reviews ORTHOPEDICS-

CiteScore

2.70

自引率

4.80%

发文量

122

审稿时长

10 weeks

期刊介绍： Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.