Treatment of Acetabular Fractures in Older Patients
Fig. 7.1 AP view of the pelvis demonstrating corridors for anterior column, posterior column, LC-2, and “magic” screws Anterior Column Screw The screw is placed in a bony corridor that…
Total Hip Arthroplasty
Fig. 11.1 In this patient who was initially treated nonoperatively for an acetabular fracture, she has developed posttraumatic osteoarthritis with a severe protrusio defect. Given the deformity of her left…
Reduction and Internal Fixation with Concomitant Total Hip Arthroplasty
Fig. 9.1 A standard flat top radiolucent table can be used for either anterior or posteriorly based approaches to the hip. If attempting concomitant open reduction internal fixation and total…
Hip Arthroplasty Alone for Treatment of Selected Acetabular Fractures in Older Patients
Fig. 8.1 97-year-old female with a displaced anterior column, posterior hemitransverse fracture (top panel). Reconstruction was accomplished by fixation of her posterior column with a contoured 3.5 mm reconstruction ring…
with Dome Impaction and Quadrilateral Plate Comminution in Older Patients Treated with Open Reduction and Internal Fixation
Fig. 6.1 (a) Preoperative anterior-posterior radiograph demonstrating the anterior column posterior hemitransverse fracture pattern with dome impaction. The arrow demonstrates the dome impaction segment. (Image reproduced by permission from Casstevens…
Reduction and Internal Fixation of Posterior Wall and Column Fractures in Older Patients
Fig. 4.1 AP X-ray of the pelvis. The arrow is pointing at the displaced right posterior wall fragment Fig. 4.2 3D rendering of a right iliac oblique view. The arrow…
Reduction and Internal Fixation of Anterior Fracture Patterns through a Limited Ilioinguinal Approach
Fig. 5.1 (a) A 91-year-old male slipped and fell on ice. Initial AP, obturator oblique, and iliac oblique radiographic views (from top, counterclockwise) illustrating a left-sided anterior column posterior hemitransverse…
Treatment of the Geriatric Acetabular Fracture
Fig. 3.1 AP pelvis injury radiograph of a 84-year-old woman with an acetabular fracture with dome impaction and medialization of the femoral head Contraindications for nonoperative treatment are fracture patterns…
of Treatment Options for Acetabular Fractures in Older Patients
Study Year Patients Results Starr 2001 11 Harris Hip Score: 85 Mouhsine 2004 18 Good results in 17 Gary 2010 75 Only 25% convert to THA Gary 2012 43 Hip…
and Scope of the Problem
Fig. 1.1 Typical geriatric acetabular fracture demonstrating several common features of fractures in this age group: impaction of the dome of the acetabulum (note the different appearances of the sourcil…
