Solutions for Failed Osteosynthesis of the Acetabulum

Overview

Journal J Clin Orthop Trauma

Specialty Orthopedics

Date 2020 Nov 16

PMID 33192007

Citations 1

Authors

Wolfgang Lehmann

Christopher Spering

Katharina Jackle

Mehool R Acharya

Affiliations

Soon will be listed here.

Abstract

Osteosynthesis of the acetabulum is complex and requires very careful planning and preoperative preparation. The goal is to achieve anatomical reduction without steps or gaps in the articular surface. If it has not been possible to achieve an optimal reconstruction, one has to consider whether it makes sense to carry out reosteosynthesis or revise the fixation. The risk of infection, heterotopic ossification, avascular necrosis of the femur and cartilage damage is much higher than with the primary procedure. Often, especially in older patients, it may make more sense to achieve fracture union and to implant a total hip prosthesis in due course. In younger patients, every attempt should be made to achieve optimum anatomical reduction and this may mean consideration of reosteosynthesis after careful planning and counselling of the patient. If reosteosynthesis is considered adequate imaging including a postoperative CT is essential as part of the planning. This article looks at the possible solutions for failed osteosynthesis of the acetabulum.

Citing Articles

Clinical Workflow Algorithm for Preoperative Planning, Reduction and Stabilization of Complex Acetabular Fractures with the Support of Three-Dimensional Technologies.

Solyom A, Moldovan F, Moldovan L, Strnad G, Fodor P J Clin Med. 2024; 13(13).

PMID: 38999455 PMC: 11242480. DOI: 10.3390/jcm13133891.

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