Erschienen in:
01.12.2015 | CORR Insights
CORR Insights®: Does Cup-cage Reconstruction With Oversized Cups Provide Initial Stability in THA for Osteoporotic Acetabular Fractures?
verfasst von:
Anton Y. Plakseychuk, MD, PhD
Erschienen in:
Clinical Orthopaedics and Related Research®
|
Ausgabe 12/2015
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Excerpt
In their study, Solomon and colleagues share their experience with a difficult surgical approach: Immediate treatment with THA for osteoporotic acetabular fractures in older patients. The authors call upon techniques used in reconstructions for pelvic discontinuity, and used cup-cage implants in combination with acetabular distraction technique. In the last 20 years, there have been substantial changes to how surgeons treat pelvic fractures in older patients—from nonoperative approaches (often resulting in poor functional outcomes) to aggressive surgical approaches including immediate THA. Early experience with immediate THA demonstrated high percentages of radiographic loosening [
3], indicating that advanced techniques are clearly warranted. …