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Total hip arthroplastyvs. osteosynthesis in acute complex acetabular fractures in the elderly:Evaluation of surgical management and outcomes

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Journal of Acute Disease 2017年第1期6卷 12-17页

作者： Serafino Carta Gabriele Falzarano Giuseppe Rollo Predrag Grubor mattia fortina Luigi Meccariello Antonio Medici Alberto Riva Luca Sampieri Paolo Ferrata Department of Medical and Surgical Sciences and Neuroscience Section of Orthopedics and TraumatologyUniversity of SienaUniversity Hospital Santa Maria alle ScotteSienaItaly Department of Orthopedics and Traumatology Hospital Gaetano RummoBeneventoItaly Department of Orthopedics and Traumatology Vito Fazzi HospitalLecceItaly Clinic of Traumatology University Hospital Clinical Center Banja LukaBanja LukaBosnia and Herzegovina

Objective: To retrospectively evaluate the open reduction internal fixation and total hip arthroplasty directions, results and complications associated with internal fixation in managing these fractures. Methods: In 8 years at 4 centers, 61 patients with associated acetabular fractures (Letournel classification) were treated. The patients were divided into two groups. The total hip arthoplasty (THA) group consisted of 30 patients, while the open reduction internal fixation group had 31 patients. The average age of the patients was 74.7 years. The following parameters were compared: the duration of surgery and hospitalization, the international unit of red blood cell concentrate transfusion, the time for the verticalization of the patient, perioperative complications, Harris hip score, and the short form (12) health survey. The clinical and radiographic follow-up was performed at 1 month, 3 months, 6 months and 12 months and annually thereafter. Patients with post-traumatic osteoarthritis formed the third comparison group.P≤ 0.05 was considered statistically significant according to the analytical Student’s t-test. Results: TheP Conclusions: Our experience shows that theTHA treatment for acetabular fractures in the elderly is to be preferred.

关键词： Acetabulum Fracture Elderly Osteoporosis Total hip arthroplasty Osteosynthesis

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