Periprosthetic Fractures of the Acetabulum During Cup Insertion: Posterior Column Stability is Crucial

Laflamme, G. Yves; Belzile, Étienne L.; Fernandes, Julio C.; Vendittoli, Pascal‐André; Hébert‐Davies, Jonah

doi:10.1016/j.arth.2014.09.013

Cited by 26 publications

(17 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Displaced fracture is unstable and usually requires surgical treatment. La amme [9] believed that posterior column fracture plays a great role in the stability of component, because the failure rate of posterior column instability was 67%. At the same time, we should also pay attention to the exclusion of vascular injury after trauma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Treatment of Periprosthetic Acetabular Fracture: A 5 Cases Report and Literature Review.

Cong

Han

Deng

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: With the increasing number of patients undergoing total hip arthroplasty(THA) in recent years, the incidence of periprosthetic acetabular fractures is increasing, which is one of the most serious complications after THA. Periprosthetic acetabular fracture caused by trauma is rare, and it requires orthopedic surgeons to deal with acetabular fracture and component loosening at the same time. This article summarizes 5 cases of periprosthetic acetabular fracture that have undergone surgical treatment, we propose the reverse press-fit technology to increase the stability of fixation for this clinical rare diseases. And the literature for treatment recommendations is reviewed.Case presentation: A total of 5 patients (3 female) were included, the average patient age at the time of injury was 66.2 years (range 54–78 years). All patients received surgical treatment, 4 cases were treated with open reduction and internal fixation(ORIF), 1 case was treated with revision surgery. There were no postoperative complications. All patients could walk independently on the latest follow-up.Conclusions: The surgical treatment option of periprosthetic acetabular fracture is ORIF or revision surgery, and the purpose is to make the component stabilized. The reverse press-fit technology could improve the fixation strength between the component and bone, and it can be performed in appropriate situation.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Posterior column xation is very important because the posterior column can provide the stability of bone -component interface. Plate is usually used for posterior column fracture xation to obtain the stability of component [9] .…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Periprosthetic Acetabular Fracture: A 5 Cases Report and Literature Review.

Cong

Han

Deng

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…One old report showed that intraoperative acetabulum fractures account for only 0.4% of THA-related fracture on traditional radiographic assessments [ 7 ]. The management of these fractures is often challenging, and reports revealed that up to 25% of cases resulted in loosening of the acetabular component with conservative treatment [ 6 , [8] , [9] , [10] ]. These intraoperative acetabulum fractures can occur in various steps of the procedure: during acetabular exposure, acetabular reaming, surgical dislocation of the hip, and, most commonly, insertion of the acetabular component using the press-fit technique [ [11] , [12] , [13] , [14] ].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Acetabular Hounsfield Unit Values and Periprosthetic Fractures in Cementless Total Hip Arthroplasty: A Matched Case-Control Study

et al. 2022

View full text Add to dashboard Cite

“…Im Bereich des Beckens kommen aufgrund der guten Anpassung an das Becken bei schwieriger anatomischer Lokalisation i. d. R. Reko-Platten zum Einsatz trotz plastizitätsbedingter schlechterer biomechanischer Eigenschaften [9]. Laflamme et al konnten des Weiteren zeigen, dass die Stabilität der hinteren Säule eine entscheidende Rolle spielt [45]. Im Fall einer gelockerten azetabulären Komponente sollte beim Wechsel zementfrei fixiert werden, da bei zementierten Revisionseingriffen die Langzeitergebnisse schlechter sind [46].…”

unclassified

Periprothetische Azetabulumfrakturen

Schreiner

Stuby

et al. 2016

Z Orthop Unfall

View full text Add to dashboard Cite

In contrast to periprosthetic fractures of the femur, periprosthetic fractures of the acetabulum are rare complications - both primary fractures and fractures in revision surgery. This topic is largely under-reported in the literature; there are a few case reports and no long term results. Due to an increase in life expectancy, the level of patients' activity and the number of primary joint replacements, one has to expect a rise in periprosthetic complications in general and periprosthetic acetabular fractures in particular. This kind of fracture can be intra-, peri- or postoperative. Intraoperative fractures are especially associated with insertion of cementless press-fit acetabular components or revision surgery. Postoperative periprosthetic fractures of the acetabulum are usually related to osteolysis, for example, due to polyethylene wear. There are also traumatic fractures and fractures missed intraoperatively that lead to some kind of insufficiency fracture. Periprosthetic fractures of the acetabulum are treated conservatively if the implant is stable and the fracture is not dislocated. If surgery is needed, there are many possible different surgical techniques and challenging approaches. That is why periprosthetic fractures of the acetabulum should be treated by experts in pelvic surgery as well as revision arthroplasty and the features specific to the patient, fracture and prosthetic must always be considered.

show abstract

Periprosthetic Fractures of the Acetabulum During Cup Insertion: Posterior Column Stability is Crucial

Cited by 26 publications

References 15 publications

Surgical Treatment of Periprosthetic Acetabular Fracture: A 5 Cases Report and Literature Review.

Surgical Treatment of Periprosthetic Acetabular Fracture: A 5 Cases Report and Literature Review.

Relationship Between Acetabular Hounsfield Unit Values and Periprosthetic Fractures in Cementless Total Hip Arthroplasty: A Matched Case-Control Study

Periprothetische Azetabulumfrakturen

Contact Info

Product

Resources

About