Results of single-stage acetabulum reconstruction and total hip arthroplasty in the management of pelvic discontinuity caused by ununited acetabulum fracture
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction Nonunion of acetabulum fracture is a common occurrence in developing countries Pelvic discontinuity due to ununited fracture acetabulum poses a serious challenge in the management of the patient Results of ORIF of these fractures are not promising due to various reasons We aim to present results on singlestage acetabulum reconstruction and total hip arthroplasty the literature on which is lackingMaterials and Methods We prospectively studied the outcome of singlestage acetabulum reconstruction and total hip arthroplasty in patients with pelvic discontinuity caused by ununited fracture acetabulum of more than 3 months duration From March 2015 to December 2018 11patients 7 males 4 females average age 42 years were treated in our hospital All cases underwent open reduction internal fixation with posterior column plate impaction bone grafting uncemented porous coated hemispherical acetabulum cup hip arthroplastyResults Union of the columns was achieved in all the cases with 7 patients 636 showed union at 12 months and rest 4 patients 364 took 18 months to unite At final follow up mean Harris hip score improved from 542 points range 2463 to 914 points range 7995 One superficial surgical site infection and one heterotopic ossification was noted in our study which had no sequel on clinical outcome at their last follow upConclusion Single stage acetabulum reconstruction by posterior column plating with impaction bone grafting and uncemented porous coated hemispherical acetabulum cup hip arthroplasty is a genuine option in management of pelvic discontinuity caused by ununited fracture of acetabulumKeywords Neglected fracture acetabulum Ununited fracture acetabulum Pelvic discontinuity Acetabulum reconstruction Single stage acetabulum reconstruction
Authors and Affiliations
Narendra Singh Kushwaha, Dharmendra Kumar, Yashwardhan Jaiswal, Amit Singh, Vineet Sharma
Keywords
Related Articles
- EP ID EP476695
- DOI 10.18231/2395-1362.2018.0071
- Views 66
- Downloads 0
To study the clinical outcome of total hip Arthroplasty
Introduction: Total hip Arthroplasty is a surgical procedure, which relives pain related to hip joint. The success of Total Hip Arthroplasty is its ability to relieve the pain associated with hip joint pathology, while m...
Results of single-stage acetabulum reconstruction and total hip arthroplasty in the management of pelvic discontinuity caused by ununited acetabulum fracture
Introduction Nonunion of acetabulum fracture is a common occurrence in developing countries Pelvic discontinuity due to ununited fracture acetabulum poses a serious challenge in the management of the patient Results of O...
Fixation in bimalleolar fractures of ankle-a comparative study between fibula plating versus intramedullary nailing with medial malleolar screw
Background: A bimalleolar ankle fracture is unique in the sense that ankle is the distal most weight bearing joint and locomotion depends upon stability of the ankle mortise. The best option for management of bimalleolar...
Unusual presentation of the wartenberg syndrome as writers cramp
A 57 year old male, clerk by profession, presented to us with complaints of right thumb pain with limitations of movements at thumb, thinning of the thumb and deformity of nail. The patient had right thumb pain in doing...
Effect of dynamization in delayed union tibia shaft fracture
Introduction: Tibial shaft fracture is among the most common long bone fracture encountered, open fractures are more common in the tibia because one third of the Tibial surface is subcutaneous throughout most of its leng...