Abstract
Purpose: The aim of this article is to propose a diagnostic and therapeutic algorithm for the acetabular periprosthetic fractures. Methods: This article explores the current literature on the epidemiology, causes and classification of periprosthetic acetabular fractures. Integrating data with the experience of the authors, it offers a guide to diagnosis and possible therapeutic strategies. Results: Intra-operative fractures can occur during rasping, reaming or implant impaction, and they must be treated immediately if the component(s) is (are) unstable. Post-operative fractures can be due to major trauma (acute fractures) or minor forces in bone osteolysis; it is possible to plan reconstruction and fixation according to fracture characteristics. Treatment choice depends upon fracture site and implant stability. Conclusions: Periprosthetic acetabular fractures are uncommon complications that can occur intra-operatively or post-operatively, and a reconstructive surgeon must be able to manage the procedure. Accurate planning and reconstruction implant are necessary to achieve good cup stability.
Original language | English |
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Pages (from-to) | 1959-1963 |
Number of pages | 5 |
Journal | International Orthopaedics |
Volume | 39 |
Issue number | 10 |
DOIs | |
Publication status | Published - Aug 27 2015 |
Keywords
- Acetabular fractures
- Acetabular reconstruction
- Complications of THA
- Periprosthetic fractures
ASJC Scopus subject areas
- Orthopedics and Sports Medicine