Management of Periprosthetic Acetabular Fractures

Abstract

Periprosthetic acetabular fractures are uncommon and infrequently the focus of studies.» Acetabular fractures are occasionally recognized postoperatively when patients report unremitting groin pain weeks after surgery.» The widespread use of cementless acetabular cups might lead to a higher number of fractures than are clinically detectable.» Appropriate recognition, including mindfulness of preoperative patient and surgical risk factors, is critical to the successful management of acetabular complications.

Periprosthetic fracture management: global approaches

“…[7][8][9][10][11][12] Classification systems, which differ for different anatomical regions, both categorize fracture types and can guide management. [7][8][9][10][11][12] In addition, prevention strategies should be used to diminish the PPF risk whenever possible, including medical management and nonsurgical modalities, such as fall prevention and physical therapy. 7 Globally, orthopaedic surgeons increasingly find themselves managing patients with PPFs, which frequently present challenging problems in medically complex patients.…”

“…7–12 In addition, prevention strategies should be used to diminish the PPF risk whenever possible, including medical management and nonsurgical modalities, such as fall prevention and physical therapy. 7…”

“…[3][4][5] Consequently, intraoperative and postoperative complications related to the procedures, including periprosthetic fractures (PPFs), also are on the rise. [6][7][8] Although reported incidences vary widely, even among the same types of fractures, and likely underrepresent the true numbers of fractures, PPFs represent a significant socioeconomic burden. 8,9 The goal of management is to ensure adequate stability and restore mobility early while minimizing potential treatment complications.…”

“…[7][8][9][10][11][12] In addition, prevention strategies should be used to diminish the PPF risk whenever possible, including medical management and nonsurgical modalities, such as fall prevention and physical therapy. 7 Globally, orthopaedic surgeons increasingly find themselves managing patients with PPFs, which frequently present challenging problems in medically complex patients. Many orthopaedists, including traumatologists, now refer to or manage these patients in collaboration with specialists experienced in treating PPFs or who are able to manage revision arthroplasty surgery.…”

“…7–12 Classification systems, which differ for different anatomical regions, both categorize fracture types and can guide management. 7–12 In addition, prevention strategies should be used to diminish the PPF risk whenever possible, including medical management and nonsurgical modalities, such as fall prevention and physical therapy. 7…”