Conversion Total Hip Arthroplasty with a Direct Anterior Approach for Failed Treatment of Acetabular Fractures
| Autor: | Andrew G. Yun, Kory B. Dylan Pasko, Marilena Qutami |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
030222 orthopedics medicine.medical_specialty education.field_of_study business.industry Radiography medicine.medical_treatment Population Osteoarthritis Perioperative medicine.disease Posterior approach Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine medicine Internal fixation 030212 general & internal medicine Anterior approach business education Total hip arthroplasty |
| Zdroj: | The Journal of Hip Surgery. 4:129-133 |
| ISSN: | 2472-8454 2472-8446 |
| DOI: | 10.1055/s-0040-1714293 |
| Popis: | Total hip arthroplasty (THA) is a salvage procedure after failed treatment of acetabular fractures. Technical challenges increase the risk of perioperative complications, specifically nerve palsy and dislocation. The direct anterior approach (DAA) was evaluated to mitigate these risks. Clinical and radiographic outcomes were reviewed retrospectively. Thirteen patients underwent conversion THA. Of the 13, nine had been treated with open reduction internal fixation (ORIF), one with traction, and three conservatively. When possible, retained hardware was deliberately left in place. At a mean follow-up of 4 years, there were no major complications, readmissions, revisions, or deaths. Two nonunions managed with autografting went on to union. The mean HOOS (hip disability and osteoarthritis outcome) Jr score at follow-up was 89. These data suggest that the DAA may be a reasonable alternative to the posterior approach in this high-risk population. |
| Databáze: | OpenAIRE |
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