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Title of Journal: International Orthopaedics SICOT

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Abbravation: International Orthopaedics

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Springer Berlin Heidelberg

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DOI

10.1016/0168-9002(96)00020-4

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1432-5195

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Management of periprosthetic acetabular fractures

Authors: Ralph Zettl Daphne Eschbach Steffen Ruchholtz
Publish Date: 2015/07/28
Volume: 39, Issue: 9, Pages: 1845-1849
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Abstract

Periprosthetic acetabular fractures are rare and in the current literature largely underreported The management is reported to be difficult Treatment varies from nonoperative to open reduction and internal fixation up to revision of the acetabular componentsA prospective consecutive case series in acetabular fractures was performed in a level 1 trauma centre All patients with preexisting total hip replacement were followed up for one year Perioperative data complications radiological results functional outcome and quality of life were measuredEight 15  of 53 patients who were included in the study underwent total hip arthroplasty before and had stable implants at time of fracture Mean age of the patients was 83 years All of them were female Mean operative time was 85 minutes There were no soft tissue complications like infection or nerve damage in the postoperative course No revision was needed Two patients died in between the follow up The Harris hip score was a mean of 77 with quality of life comparable to persons in the same age

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