Centre de Documentation Campus Montignies
Horaires :
Lundi : 8h-18h30
Mardi : 8h-18h30
Mercredi 9h-16h30
Jeudi : 8h-18h30
Vendredi : 8h-16h30
Attention, votre centre de documentation sera fermé ce vendredi 17 mai.
Lundi : 8h-18h30
Mardi : 8h-18h30
Mercredi 9h-16h30
Jeudi : 8h-18h30
Vendredi : 8h-16h30
Attention, votre centre de documentation sera fermé ce vendredi 17 mai.
Bienvenue sur le catalogue du centre de documentation du campus de Montignies.
Résultat de la recherche
2 résultat(s) recherche sur le mot-clé 'acetabular fracture'
Ajouter le résultat dans votre panier Affiner la recherche Générer le flux rss de la recherche
Partager le résultat de cette recherche Faire une suggestion
Outcomes of acute fix and replace in complex hip posterior fracture dislocations with acetabular fractures / Veenesh Selvaratnam in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Outcomes of acute fix and replace in complex hip posterior fracture dislocations with acetabular fractures : a minimum of 3 years follow-up Type de document : texte imprimé Auteurs : Veenesh Selvaratnam ; Sunil Panchani ; Henry Wynn Jones Année de publication : 2021 Article en page(s) : p. 635-642 Note générale : https://doi.org/10.52628/87.4.08 Langues : Anglais (eng) Mots-clés : Fix and replace hip fracture dislocation acetabular fracture total hip replacement Résumé : Simultaneous open reduction and internal fixation of acetabular fractures combined with total hip replacement (THR) have some potential advantages over the more traditional approach in specific patient subgroups. The aim of this study was to evaluate the outcomes of patients who had the “fix and replace” construct for complex posterior hip fracture dislocation treated at our tertiary referral pelvic unit. This was a retrospective review of prospectively collected data for patients who underwent this procedure between 2011-2018 with a minimum of 3 year follow up. Data collected were: patient demographics, date of injury, injury pattern, fixation methods, type of implants used and post-operative complications. There were 14 patients with a mean age of 63.2 years (range 43-94 years) who underwent this procedure between 2011-2018. The mean follow up was 58 months. All cases involved a posterior wall fracture and six cases had an associated posterior column involvement. Femoral head autograft was used in 13 patients (93%). Six patients (43%) had their posterior acetabular wall reconstructed with a femoral head autograft. Seven patients had a fully cemented (THR) and the seven others had a hybrid implant. There were no surgical related complications. From our study we can conclude that the acute “fix and replace” construct for complex posterior hip fracture dislocation yields good clinical outcomes in the short and medium term with low complication rate. It is best performed by a surgeon who specialises in both acetabular and hip arthroplasty surgery. Permalink : ./index.php?lvl=notice_display&id=102013
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 635-642[article] Outcomes of acute fix and replace in complex hip posterior fracture dislocations with acetabular fractures : a minimum of 3 years follow-up [texte imprimé] / Veenesh Selvaratnam ; Sunil Panchani ; Henry Wynn Jones . - 2021 . - p. 635-642.
https://doi.org/10.52628/87.4.08
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 635-642
Mots-clés : Fix and replace hip fracture dislocation acetabular fracture total hip replacement Résumé : Simultaneous open reduction and internal fixation of acetabular fractures combined with total hip replacement (THR) have some potential advantages over the more traditional approach in specific patient subgroups. The aim of this study was to evaluate the outcomes of patients who had the “fix and replace” construct for complex posterior hip fracture dislocation treated at our tertiary referral pelvic unit. This was a retrospective review of prospectively collected data for patients who underwent this procedure between 2011-2018 with a minimum of 3 year follow up. Data collected were: patient demographics, date of injury, injury pattern, fixation methods, type of implants used and post-operative complications. There were 14 patients with a mean age of 63.2 years (range 43-94 years) who underwent this procedure between 2011-2018. The mean follow up was 58 months. All cases involved a posterior wall fracture and six cases had an associated posterior column involvement. Femoral head autograft was used in 13 patients (93%). Six patients (43%) had their posterior acetabular wall reconstructed with a femoral head autograft. Seven patients had a fully cemented (THR) and the seven others had a hybrid implant. There were no surgical related complications. From our study we can conclude that the acute “fix and replace” construct for complex posterior hip fracture dislocation yields good clinical outcomes in the short and medium term with low complication rate. It is best performed by a surgeon who specialises in both acetabular and hip arthroplasty surgery. Permalink : ./index.php?lvl=notice_display&id=102013 Réservation
Réserver ce document
Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Disponible
DisponibleOccult periprosthetic fractures of the acetabulum in THA using an elliptic cup design have no adverse impact on outcome / Thomas Häller in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Occult periprosthetic fractures of the acetabulum in THA using an elliptic cup design have no adverse impact on outcome Type de document : texte imprimé Auteurs : Thomas Häller ; Claudio Dora ; Pascal Schenk ; Patrick Oliver Zingg Année de publication : 2021 Article en page(s) : p. 299-304 Note générale : https://doi.org/10.52628/87.2.14 Langues : Anglais (eng) Mots-clés : Periprosthetic fracture acetabular fracture periprosthetic acetabular fracture total hip arthroplasty clinical outcome Résumé : Occult periprosthetic fractures have been defined as a fracture only visible on postoperative CT scans but not on postoperative plain radiography after an uneventful surgery without intraoperative fracture. The fracture rate for hemispherical and peripheral self-locking cups has been described as 8.4%. We retrospectively analyzed postoperative CT scans after primary THA to clear the question whether such occult periprosthetic fractures of the acetabulum require particular treatment strategy.
Between 2014 and 2018 we identified 115 CT scans of 114 patients after primary cementless THA with elliptical cups using a direct anterior approach. The CT scans were obtained as part of other investigations. Localization of the fracture, patients demographics, clinical (WOMAC, Harris Hip Score) and radiological outcome were analyzed.
Fracture and non-Fracture group were compared with regard to demographics and short-term outcome after 1 year.
Four occult fractures (3.5%) were identified. Three fractures involved the posterior wall. All patients had an uneventful routine postoperative rehabilitation. Patients with occult fractures showed similar post- operative HHS and WOMAC scores at 3 (HHS p = 0.576, WOMAC p = 0.128) and 12 (HHS p = 0.479, WOMAC p = 0.588) months. There were no cup loosening nor radiolucent lines at latest follow-up (mean FU 22 months, range 12-34 months).
Clinical and radiological short-term outcome was not impaired by the occurrence of an occult periprosthetic fracture of the acetabulum. The incidental detection of an occult periprosthetic fracture of the acetabulum does not seem to oblige the surgeon to adapt the postoperative regime.Permalink : ./index.php?lvl=notice_display&id=96664
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 299-304[article] Occult periprosthetic fractures of the acetabulum in THA using an elliptic cup design have no adverse impact on outcome [texte imprimé] / Thomas Häller ; Claudio Dora ; Pascal Schenk ; Patrick Oliver Zingg . - 2021 . - p. 299-304.
https://doi.org/10.52628/87.2.14
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 299-304
Mots-clés : Periprosthetic fracture acetabular fracture periprosthetic acetabular fracture total hip arthroplasty clinical outcome Résumé : Occult periprosthetic fractures have been defined as a fracture only visible on postoperative CT scans but not on postoperative plain radiography after an uneventful surgery without intraoperative fracture. The fracture rate for hemispherical and peripheral self-locking cups has been described as 8.4%. We retrospectively analyzed postoperative CT scans after primary THA to clear the question whether such occult periprosthetic fractures of the acetabulum require particular treatment strategy.
Between 2014 and 2018 we identified 115 CT scans of 114 patients after primary cementless THA with elliptical cups using a direct anterior approach. The CT scans were obtained as part of other investigations. Localization of the fracture, patients demographics, clinical (WOMAC, Harris Hip Score) and radiological outcome were analyzed.
Fracture and non-Fracture group were compared with regard to demographics and short-term outcome after 1 year.
Four occult fractures (3.5%) were identified. Three fractures involved the posterior wall. All patients had an uneventful routine postoperative rehabilitation. Patients with occult fractures showed similar post- operative HHS and WOMAC scores at 3 (HHS p = 0.576, WOMAC p = 0.128) and 12 (HHS p = 0.479, WOMAC p = 0.588) months. There were no cup loosening nor radiolucent lines at latest follow-up (mean FU 22 months, range 12-34 months).
Clinical and radiological short-term outcome was not impaired by the occurrence of an occult periprosthetic fracture of the acetabulum. The incidental detection of an occult periprosthetic fracture of the acetabulum does not seem to oblige the surgeon to adapt the postoperative regime.Permalink : ./index.php?lvl=notice_display&id=96664 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt