Acute Total Hip Arthroplasty in Acetabular Fractures in the Elderly Using the Octopus System

Total Hip Arthroplasty after Acetabular Fracture: Incidence of Complications, Reoperation Rates and Functional Outcomes: Evidence Today

“…Thirty-six percent of patients (237) were treated with acute total hip arthroplasty [7,8,[14][15][16]20,21,24,26]. Detailed reports of the surgical approaches utilized were mentioned in 15 studies [7,8,[12][13][14][15][16][17][18]20,21,[25][26][27][28] (Table 3).…”

“…All but one studies [23] reported on the implants used. Thus out of the data available of 604 hips, an uncemented acetabular component was used in 80.1% (484) of patients [7,[12][13][14][15][17][18][19][20][21][22][24][25][26][27] and a cemented one was used in 19.9% (120) [8,15,16,20,[24][25][26][27]. Three studies did not report on the kind of femoral stem used [14,21,23].…”

“…From the remaining 625 fractures, forty-hundred seventy three (75.7%) [7,8,12,14,[16][17][18][19][20][21][22][23][24][25][26][27][28] were treated with open reduction and internal fixation (ORIF) and 152 (24.3%) with nonoperative methods [8,12,15,[17][18][19]22,23,25,26,28]. The majority of the studies reported no failure of initial treatment of acetabular fractures [7,8,12,[15][16][17][18][19][20][21]24,25,28]. Two studies mentioned complications of initial ORIF such as infection and non-union [22,27] and 4 gave no data [13,14,23,26].…”

“…Three studies did not report on the kind of femoral stem used [14,21,23]. From the data available of 569 hips, an uncemented femoral component was used in 59.8% (340) of cases [7,12,13,[16][17][18][19][20]22,24,26,27] and a cemented one in 40.2% (229) [7,8,12,13,15,16,22,[24][25][26][27][28]. An anti-protrusion acetabular cage was used in 3 studies [7,24,28].…”

Hüftendoprothetik bei Arthrose nach Azetabulumfrakturen

“…» Die primäre endoprothetische Versorgung wird zunehmend diskutiert Aufgrund des relativ hohen Risikos einer sekundären Gelenkzerstörung wird heu te auch zunehmend die primäre endo prothetische Versorgung diskutiert, wenn eine schwere Zerstörung der Gelenkflä chen von Pfanne oder Kopf besteht, vor dem Unfall bereits eine relevante Arth rose vorgelegen hat und das Patienten alter über dem 65. Lebensjahr liegt [10,15]. Dennoch wird auch weiterhin die zweizeitige endoprothetische Versor gung von Azetabulumfrakturen notwen dig sein, wenn es aufgrund eines ungüns tigen Heilungsverlaufes nach initial kon servativ oder auch operativ behandelter Fraktur zur sekundären Arthrose gekom men ist.…”