Solutions for failed osteosynthesis of the acetabulum.
Acetabulum
Arthrosis
Hip prosthesis
Incongruency
Plate osteosynthesis
Reosteosynthesis
Journal
Journal of clinical orthopaedics and trauma
ISSN: 0976-5662
Titre abrégé: J Clin Orthop Trauma
Pays: India
ID NLM: 101559469
Informations de publication
Date de publication:
Historique:
received:
28
08
2020
revised:
15
09
2020
accepted:
20
09
2020
entrez:
16
11
2020
pubmed:
17
11
2020
medline:
17
11
2020
Statut:
ppublish
Résumé
Osteosynthesis of the acetabulum is complex and requires very careful planning and preoperative preparation. The goal is to achieve anatomical reduction without steps or gaps in the articular surface. If it has not been possible to achieve an optimal reconstruction, one has to consider whether it makes sense to carry out reosteosynthesis or revise the fixation. The risk of infection, heterotopic ossification, avascular necrosis of the femur and cartilage damage is much higher than with the primary procedure. Often, especially in older patients, it may make more sense to achieve fracture union and to implant a total hip prosthesis in due course. In younger patients, every attempt should be made to achieve optimum anatomical reduction and this may mean consideration of reosteosynthesis after careful planning and counselling of the patient. If reosteosynthesis is considered adequate imaging including a postoperative CT is essential as part of the planning. This article looks at the possible solutions for failed osteosynthesis of the acetabulum.
Identifiants
pubmed: 33192007
doi: 10.1016/j.jcot.2020.09.024
pii: S0976-5662(20)30459-8
pmc: PMC7656531
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1039-1044Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2020.
Références
J Orthop Trauma. 2015 Aug;29(8):354-8
pubmed: 26131566
Clin Orthop Relat Res. 2013 Sep;471(9):2776-82
pubmed: 23440617
J Orthop Trauma. 2016 Apr;30(4):208-12
pubmed: 26618665
Clin Orthop Relat Res. 1980 Sep;(151):115-23
pubmed: 7418294
Injury. 2015 Oct;46 Suppl 4:S71-4
pubmed: 26542869
J Orthop Trauma. 2017 Jul;31(7):e210-e216
pubmed: 28240619
Clin Orthop Relat Res. 1994 Aug;(305):47-52
pubmed: 8050245
Chin J Traumatol. 2018 Jun;21(3):176-181
pubmed: 29773451
Clin Orthop Relat Res. 1980 Sep;(151):81-106
pubmed: 7418327
J Am Acad Orthop Surg. 2017 Feb;25(2):117-124
pubmed: 28098705
J Orthop Trauma. 2014 Dec;28(12):694-9
pubmed: 24786735
J Orthop Trauma. 2018 Jul;32(7):e251-e257
pubmed: 29916991
J Orthop Trauma. 2019 Feb;33 Suppl 2:S43-S48
pubmed: 30688859
J Bone Joint Surg Am. 2012 Sep 5;94(17):1559-67
pubmed: 22992846
J Orthop Trauma. 2014 Mar;28(3):148-53
pubmed: 23719343
J Orthop Trauma. 2019 Feb;33 Suppl 2:S37-S42
pubmed: 30688858
Orthop Traumatol Surg Res. 2013 Dec;99(8):929-35
pubmed: 24183746
Clin Orthop Relat Res. 2014 Nov;472(11):3395-403
pubmed: 25141842