Classification of Acetabulum Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Classification of Acetabulum Fractures

Historical Development Historically, fractures of the acetabulum were classified as part of traumatic hip dislocations or as an addition to femoral fractures.6,​7,​8,​9,​10 Armstrong distinguished hip dislocations with an additional femoral…

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Periprosthetic Acetabular Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Periprosthetic Acetabular Fractures

Several risk factors were identified for periprosthetic acetabular fractures. These include significant osteoporosis and other impairments of bone quality, the local individual anatomy with potential periacetabular bone defects, osteolysis, rheumatic…

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Outcome Scoring

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Outcome Scoring

Outcome measurements following acetabular fractures should be standardized using established outcome scores. The goal of treating acetabular fractures is the restoration of a pain-free range of motion (ROM) of the…

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Femoral Head Fractures: Pipkin IV

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Femoral Head Fractures: Pipkin IV

Several classification systems are available regarding femoral head fractures. The most commonly used classification system is that of Pipkin (▶ Table 24.1), which is based on standard radiographic analysis without…

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Acetabular Fractures in Children

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Acetabular Fractures in Children

Epidemiology Injuries of the pediatric acetabulum or triradiate cartilage are rare entities.1,​2,​3,​4,​5,​6,​7,​8,​9,​10,​11,​12,​13,​14,​15,​16 Diagnostics and therapy are correspondingly inconsistent. Thus, the majority of early publications were only case reports.10,​17,​18,​19,​20 Overall, the…

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Epidemiology

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Epidemiology

Epidemiological data on acetabular fractures are useful for preoperative planning, patient information, to determine the risk of adverse results regarding complications, and to determine fracture- and injury-related outcomes. The heterogeneity…

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Fractures in the Elderly

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Fractures in the Elderly

Epidemiology Acetabular fractures in elderly patients are becoming more important. Treatment decisions can be difficult in this age group as bone quality is often reduced, making operative procedures more demanding….

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Heterotopic Ossifications

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Heterotopic Ossifications

Development of heterotopic ossifications after surgical treatment of acetabular fractures can result in considerable functional losses and are among the most frequent, clinically relevant reported complications. Their risk factors and…

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Thromboembolic Complications

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Thromboembolic Complications

Thromboembolic complications can be life threatening. Their frequencies, the type of diagnostics, and the therapeutic and prophylactic regime are still under discussion. Deep vein thrombosis (DVT) and/or pulmonic embolisms (PE)…

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Biomechanics

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Biomechanics

Biomechanics of the Hip Joint Under physiological hip joint loading, an inhomogeneous pressure distribution is present within the acetabulum, due to the physiological incongruence of the hip joint.1,​2,​3,​4,​5,​6,​7 Anatomically, there…

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