Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures

Autor: Marcantonio V. Pinci, MD, Norberto J. Torres-Lugo, MD, José Acosta-Julbe, BS, David Deliz-Jimenez, MD, Antonio Otero-López, MD, Alberto Criado, MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Arthroplasty Today, Vol 18, Iss , Pp 7-10 (2022)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2022.08.013
Popis: Bilateral acetabular fractures after seizure activity are rare, as most of these injuries are associated with high-energy trauma. It is hypothesized that rapid forceful contracture of hip musculature during a seizure can lead to the femoral head fracturing the medial wall and driving in proximal and medial directions. Absence of standardized surgical treatment algorithms and literature-reported outcomes makes this fracture pattern challenging to orthopedic surgeons. To the best of our knowledge, no published data describe delayed simultaneous total hip arthroplasty for treating seizure-induced bilateral acetabular fractures with protrusio. We present a patient that sustained bilateral acetabular fractures after an alcohol-withdrawal seizure. The patient underwent delayed simultaneous total hip arthroplasty 3 months later with excellent functional outcomes at the 6-month follow-up.
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