Quadrilateral Surface Restoration by Medial Buttressing Before Revision in Periprosthetic Acetabular Fracture
| Autor: | Daniel S. Wagner, Mehdi Boudissa, Alexander Hofmann, Geoffrey Porcheron, Pol Maria Rommens, Tobias E. Nowak |
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| Rok vydání: | 2021 |
| Předmět: |
Reoperation
medicine.medical_specialty Buttress plate Arthroplasty Replacement Hip Radiography medicine.medical_treatment Periprosthetic Prosthesis 03 medical and health sciences 0302 clinical medicine medicine Humans Internal fixation Orthopedics and Sports Medicine 030212 general & internal medicine Reduction (orthopedic surgery) Retrospective Studies 030222 orthopedics business.industry Acetabular fracture Acetabulum medicine.disease Hip resurfacing Surgery Hip Prosthesis business |
| Zdroj: | JBJS Case Connector. 11 |
| ISSN: | 2160-3251 |
| Popis: | Case We report a case of periprosthetic acetabular fracture with pelvic discontinuity (PAFPD) classified Paprosky IIIb around an infected hip resurfacing prosthesis. A 3-stage revision was performed with (1) implants removal and surgical debridement to treat the infection; (2) open reduction and internal fixation using a medial buttress plate to treat pelvic discontinuity; and (3) custom-made total hip replacement with acetabular-ring reinforcement. The patient recovered with excellent clinical and radiographic results at 4-year follow-up. Conclusions In complex cases of PAFPD, a collaboration between pelvic trauma surgeons and orthopaedic hip surgeons allows to provide stability for revision surgeries with good outcomes. |
| Databáze: | OpenAIRE |
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