Acetabulumfrakturen im Alter View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-12

AUTHORS

M. H. Hessmann, S. Nijs, P. M. Rommens

ABSTRACT

Acetabular fractures in elderly patients are rare injuries, but their incidence is increasing. Poor bone quality due to osteoporosis and an increased operative risk due to concomitant disease are factors complicating surgical therapy. Literature does not provide generally accepted treatment protocols.In a 4-year period, 27 patients who were 65 years or older and who had an acute displaced fracture of the acetabulum were admitted to our department. Four minimally displaced and stable fractures were managed conservatively. Internal fixation was performed in 16 cases. According to the Merle d'Aubigné score, in 15 out of 18 surviving patients excellent or good results were found.Treatment strategy should be planned individually for each fracture, taking into account the patients biological age and general condition, fracture type, bone quality and associated injuries. Primary endoprosthetic replacement should only be considered when the acetabular bone stock allows stable cup fixation. Osteosynthesis in combination with early endoprosthetic replacement should be considered in acetabular fractures with associated femoral head or neck fractures or when significant articular steps and/or bone defects remain after open reduction and internal fixation. More... »

PAGES

893-900

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00113-002-0437-0

DOI

http://dx.doi.org/10.1007/s00113-002-0437-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049415616

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12376896


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