1. Total hip arthroplasty for acetabular fractures: 'Early Application'
- Author
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Muhammet Sadık Bilgen, Gokay Eken, Kemal Durak, Necmettin Salar, Cenk Ermutlu, Ömer Faruk Bilgen, Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı., Bilgen, Muhammed Sadık, Eken, Gökay, Durak, Kemal, and ABE-9918-2021
- Subjects
Male ,Heterotopic ossification ,Hip dislocation ,medicine.medical_treatment ,Arthroplasty, Replacement, Hip ,Replacement ,Fracture healing ,Harris hip score ,Traffic accident ,Hip fracture ,0302 clinical medicine ,Medicine ,030212 general & internal medicine ,Aged, 80 and over ,030222 orthopedics ,Head injury ,Bone radiography ,Middle Aged ,Acetabulum ,Osteosynthesis ,Heterotopic Ossification ,Acetabulum fracture ,Retrospective study ,Operation duration ,Emergency medicine ,Hip arthroplasty ,Female ,Total hip arthroplasty ,Human ,Adult ,medicine.medical_specialty ,Return to work ,Clinical article ,Internal-fixation ,Article ,Falling ,03 medical and health sciences ,Arthroplasty, replacement ,Computer assisted tomography ,Postoperative period ,Dislocation ,Total hip prosthesis ,Humans ,Reduction ,Aged ,Hip ,business.industry ,Hip Fractures ,Elderly-patients ,Very elderly ,Mean age ,Follow up ,Surgical infection ,medicine.disease ,Hip replacement ,Arthroplasty ,Surgery ,Anesthesiology and Pain Medicine ,Harris Hip Score ,Early mobilization ,Hip pain ,business ,Neoperation - Abstract
Background The aim of this study was to evaluate the functional and clinical results of early total hip arthroplasty performed to treat acetabulum fracture. Methods Evaluation of 17 patients who were diagnosed with acetabulum fracture and treated with early total hip arthroplasty between January 2008 and October 2013 was performed. In all, 14 patients were male, and 3 were female, with mean age of 52 years (range: 29-80 years). Time elapsed between trauma and operation was mean of 13 days (range: 2-21 days). Observation period was average of 48.2 months (range: 24-70 months). Mean Harris Hip Score was 89.6 (range: 70-100). Results In 13 patients, score was good or excellent. Total of 7 of 10 patients had returned to their pre-trauma jobs. Mean length of time for return to work was determined to be 7.2 months (range: 1.5-24 months). Of the total, 9 (52.9%) patients were diagnosed with heterotopic ossification according to Brooker Classification. Conclusion After acetabulum fracture, early total hip arthroplasty with the correct indications and appropriate patient can result in functional, pain-free hip joint with the advantages of early mobilization, early return to work, and decrease in reoperation risk. Heterotopic ossification prophylaxis should be considered in the presence of 1 or more risk factors, such as a head injury, high-energy trauma, or associated musculoskeletal injuries.
- Published
- 2017