International Orthopaedics (SICOT) (2017) 41:1831–1837 DOI 10.1007/s00264-016-3260-x ORIGINAL PAPER Comparison of open reduction and internal fixation and primary total hip replacement for osteoporotic acetabular fractures: a retrospective clinical study 1 2 2 2 Sebastian P. Boelch & Martin C. Jordan & Rainer H. Meffert & Hendrik Jansen Received: 6 December 2015 /Accepted: 25 July 2016 /Published online: 10 August 2016 SICOT aisbl 2016 Abstract operative full weight-bearing. Various techniques, affording Purpose Treating acetabular fractures with open reduction fixation of the unstable acetabular columns, are described. In and internal fixation (ORIF) may lead to poorer outcomes in THR with an anti-protrusion cage, only dorsal column insta- older patients. As data for osteoporotic acetabular fractures are bility needs to be addressed. limited, we compared primary total hip replacement (THR) Conclusion The described technique achieved sufficient ace- with ORIF for treating osteoporotic acetabular fractures, in- tabular component stability. Primary THR with an anti- cluding those with posterior column instability. protrusion cage is an advantageous option to ORIF and should Methods All patients with osteoporotic acetabular fractures, be strongly considered for osteoporotic acetabular fractures. treated with ORIF or primary THR from 2005 to 2015, were assessed retrospectively for clinical and radiologic outcomes. Keywords
International Orthopaedics – Springer Journals
Published: Aug 10, 2016
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