Total hip arthroplFemurDislocationBoneFemoral headDistalOutcomesAcetabulum fracturesLetournelPosterior wallPeriprostheticPelvic fracturesClassificationIncidenceComplicationsInjuriesArticularInjuryEctopicOsteoporosisRadiographsComplicationOsteolysisTreatmentElementaryReductionSystematicPatientsReconstructionPatternsSurgical management
Total hip arthropl5
- Kumar P, Sen RK, Kumar V, Dadra A . Quality of life following total hip arthroplasty in patients with acetabular fractures, previously managed by open reduction and internal fixation. (eexot-journal.com)
- Significant heterotopic ossification (HO) was found in 21 hips following total hip arthroplasty (THA) rated as class I (7), class II (5), class III (7) and class IV (2). (postgraduateorthopaedics.co.uk)
- This study evaluates clinical and radiographic results of revision total hip arthroplasty (THA) for previous ceramic-on-ceramic articulation fracture and know suitable treatment method. (dsmc.or.kr)
- This study was performed on 8 patients, who underwent revision total hip arthroplasty for ceramic-on-ceramic articulation fracture from May 2004 to April 2011. (dsmc.or.kr)
- Acetabular cup revision combined with tensor facia lata reconstruction for management of massive abductor avulsion after failed total hip arthroplasty. (utosm.com)
Femur10
- Fractures of the acetabulum occur when the head of the femur is driven into the pelvis. (wikipedia.org)
- This injury is caused by a blow to either the side or front of the knee and often occurs as a dashboard injury accompanied by a fracture of the femur. (wikipedia.org)
- Fractures of the acetabulum occur as a result of the force exerted through the head of the femur to the acetabulum. (medscape.com)
- The position of the femur at the time of impact and the direction of the force determine the type and displacement of the fracture. (medscape.com)
- With the hip in neutral rotation, the greater the degree of adduction of the femur, the higher the level of the fracture (greater involvement of the roof). (medscape.com)
- Short Versus Long Cephalomedullary Nails for Fixation of Stable Versus Unstable Intertrochanteric Femur Fractures at a Level 1 Trauma Center. (utah.edu)
- Systematic review of the treatment of periprosthetic distal femur fractures. (utosm.com)
- Femur or periprosthetic fractures. (thelawplace.com)
- Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. (orthobullets.com)
- Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures. (orthobullets.com)
Dislocation2
- This can happen from trauma, (like a hip dislocation or fracture). (moreaupt.com)
- While these implants brought with them great benefits, such as a decreased chance of fracturing from the device and of dislocation when the ball slips out of the socket, these can no longer be used. (thelawplace.com)
Bone10
- Because of the limitations of plain radiography in the imaging of heterotopic ossification (HO)-this modality may not show evidence of HO until 4-5 weeks after injury-radionuclide bone scanning is the preferred diagnostic test for earlier detection of the condition. (medscape.com)
- Excision should be considered for patients in whom shoulder motion is severely limited by extensive heterotopic bone, especially if dynamic electromyography studies reveal volitional capacity for the various shoulder muscles. (medscape.com)
- This gave good differentiation of the heterotopic bone from the adjacent vessels. (the-medical-dictionary.com)
- Neurogenic myositis ossificans is the formation of heterotopic bone in the periarticular soft tissues of patients who have sustained a severe injury to the brain or spinal cord. (the-medical-dictionary.com)
- Surgical removal of mature heterotopic bone is required in order to regain a functional range of movement although the surgeon must take care to avoid fractures and damage to adjacent neurovascular structures. (the-medical-dictionary.com)
- No patient underwent a bone scan before surgery in order to assess the maturity of the ossification. (the-medical-dictionary.com)
- Heterotopic ossification (HO) is the formation of ectopic lamellar bone in atypical, extraskeletal tissues. (postgraduateorthopaedics.co.uk)
- Proper evaluation and management of acetabular bone loss at the time of revision surgery will be an increasing challenge facing orthopaedic surgeons. (sogacot.org)
- Appropriate radiographs are critical in assessing acetabular bone loss, and specific classification schemes can identify bone loss patterns and guide available treatment options. (sogacot.org)
- [ 16 ] The addition of cancellous bone grafting appears to slightly enhance clinical outcomes if subchondral fracture is present. (medscape.com)
Femoral head4
- 12 This scenario occurs when the patient reaches the extremes of the prosthetic range of motion and the femoral neck levers on the acetabular cup, allowing the femoral head to escape from the acetabulum. (ochsnerjournal.org)
- [ 1 ] Anatomic reduction and stable fixation of the fracture, such that the femoral head is concentrically reduced under an adequate portion of the weightbearing dome of the acetabulum, is the treatment goal in these difficult fractures. (medscape.com)
- Pincer morphology describes "overcoverage" of the femoral head by the acetabulum in which the acetabular rim is extended beyond the typical amount, either in one focal area or more generally across the acetabular rim. (physio-pedia.com)
- Cam and pincer morphology can lead to damage of the articular cartilage and the labrum due to impingement between the acetabular rim and the femoral head during movement, which causes the symptoms of FAI syndrome. (physio-pedia.com)
Distal4
- Then fall/winter 2003-2004 she returned with pain higher in the buttock near the distal part of the SI joint same side as her acetabular fracture. (hwbf.org)
- Background: There are no formal practice guidelines for the surgical management of closed, Salter-Harris (SH) II distal tibia fractures. (ortopaedi.dk)
- Conclusions: There is considerable variation regarding the indications for operative and nonoperative management of closed, SHII distal tibia fractures. (ortopaedi.dk)
- The variation in the management of distal tibia SHII fractures is significant, suggesting that perhaps clinical equipoise exists between operative and nonoperative management. (ortopaedi.dk)
Outcomes2
- Outcomes after surgical treatment of acetabular fractures: a review. (eexot-journal.com)
- Despite similar or better clinical outcomes compared with UH, BH with a higher cost could not decrease long-term acetabular erosion rate. (biomedcentral.com)
Acetabulum fractures3
- Nerve injury with acetabulum fractures. (eexot-journal.com)
- Acetabulum fractures usually occur as a result of high-velocity trauma, such as vehicular accidents or falls from heights. (medscape.com)
- Although it is difficult to pinpoint the exact relation between the point of impact and the mechanism of injury in acetabulum fractures, certain relations are well recognized. (medscape.com)
Letournel5
- According to Letournel and Judet 37(58.73%) patients had elementary acetabular fractures, whereas 26 (41.26%) patients had complex fractures. (eexot-journal.com)
- Letournel E, Judet R. Fracture of the acetabulum. (eexot-journal.com)
- Classifications in brief: Letournel classification for acetabular fractures. (eexot-journal.com)
- Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. (eexot-journal.com)
- The Judet brothers and, subsequently, Emile Letournel studied acetabular fractures extensively and were responsible for popularizing the surgical management of these challenging injuries. (medscape.com)
Posterior wall1
- I would like to present to you a case of a young woman (born 1976) with a acetabular fracture of the posterior wall. (hwbf.org)
Periprosthetic1
- The clinical evaluation was performed according to the Harris hip score, pain, and for the radiological evaluation of the presence of periprosthetic osteolysis, loosening of prosthesis, and heterotopic ossification. (dsmc.or.kr)
Pelvic fractures1
- Peltier reported an incidence of 24% acetabular fractures in his series of adult pelvic fractures. (medscape.com)
Classification1
- Acetabular fractures: What Radiologists should know and how 3D CT can aid classification. (eexot-journal.com)
Incidence2
- The exact incidence of acetabular fractures in various parts of the world is not known. (medscape.com)
- BH could significantly decrease the incidence of acetabular erosion at 1 year follow-up compared with UH (RR = 0.24, 95% confidence interval (CI) = 0.06 to 0.89, P = 0.03), but no significant difference was observed at 4 months, 2 years, and 4 years follow-ups. (biomedcentral.com)
Complications3
- We followed complications of surgical treatment for acetabular fractures in 52(82.53%) men and 11(17.46%) women, average age of 45.06 years- old (from 14 to 77). (eexot-journal.com)
- Conclusion Complications and results suggest that in addition to the urgent hip reduction in dislocated fractures, early definitive acetabular osteosynthesis and anatomical reduction, the severity of initial trauma significantly have an effect on results. (eexot-journal.com)
- Pavelka T, Houcek P. Complications associated with the surgical treatment of acetabular fractures. (eexot-journal.com)
Injuries3
- Acetabular fractures are severe injuries with an uncertain final functional outcome. (eexot-journal.com)
- These fractures are often associated with other life-threatening injuries. (medscape.com)
- One of the biggest changes I have enjoyed in the field has been the development of minimally invasive surgery to fix athletic injuries and fractures. (stanfordchildrens.org)
Articular1
- Displacement of the fracture fragments leads to articular incongruity of the hip joint that results in abnormal pressure distribution on the articular cartilage surface. (medscape.com)
Injury5
- Fractures of the acetabulum in young individuals usually result from a high energy injury like vehicular accident or feet first fall. (wikipedia.org)
- Myositis ossificans circumscripta without trauma - Also referred to as neurogenic HO, this is a localized soft-tissue ossification occurring after neurologic injury or burns. (medscape.com)
- Surgery may be hazardous with potential haemorrhage, neurovascular injury, iatrogenic fracture and osteochondral injury. (the-medical-dictionary.com)
- We established that early surgery, within 24 months of injury, was neither complicated by peri-operative fracture nor by the early recurrence of neurogenic myositis ossificans. (the-medical-dictionary.com)
- Average time of definitive acetabular osteosynthesis was 5.09 days from the injury (from 1 to 21 days). (eexot-journal.com)
Ectopic2
- Several terms have been used to describe the condition, including heterotopic ossification, ectopic ossification, and myositis ossificans. (medscape.com)
- Brooker AF, Bowerman JW, Robinson RA, Riley LH Jr. Ectopic ossification following total hip replacement. (postgraduateorthopaedics.co.uk)
Osteoporosis1
- In older individuals or those with osteoporosis, a trivial fall may result in acetabular fracture. (wikipedia.org)
Radiographs1
- May take 6 weeks for ossification to be evident on plain radiographs. (postgraduateorthopaedics.co.uk)
Complication1
- A common postoperative complication is heterotopic ossification around the injured hip joint. (wikipedia.org)
Osteolysis1
- Severe metallosis and osteolysis of peri-acetabular were detected in 2 cases of metal-polyethyelene. (dsmc.or.kr)
Treatment2
- Given the specifics, acetabular fractures require surgical experience and treatment in tertiary care facilities. (eexot-journal.com)
- Treatment options include impaction grafting and cementation of the acetabulum, noncemented hemispheric acetabular reconstruction, structural allograft reconstruction, noncemented reconstruction with modular porous metal augments, ring and cage reconstruction, oblong cup reconstruction, cup-cage reconstruction, and triflange reconstruction. (sogacot.org)
Elementary1
- They classified these fractures into elementary (simple two part) and associated (complex three or more part) fractures. (wikipedia.org)
Reduction1
- Anatomical reduction of fracture was achieved in 54 (85.71%) patients. (eexot-journal.com)
Systematic1
- A systematic literature search (up to April, 2014) was conducted to include RCTs comparing BH with UH for displaced femoral neck fractures. (biomedcentral.com)
Patients5
- In 1918, Dejerine and Ceillier first described heterotopic ossification (HO) in paraplegic patients injured in World War I, referring to the process as paraosteoarthropathy. (medscape.com)
- The role of physical therapy in patients with heterotopic ossification (HO) is controversial. (medscape.com)
- Road traffic accidents were the cause of fractures in 51(80.95%) patients. (eexot-journal.com)
- Patients underwent THA after the average of 4.28 years (from 1 to 8) after previous acetabular fracture osteosynthesis. (eexot-journal.com)
- Exactech had noticed over the past 24 months that a small number of patients (.118%) who are 3-6 years out from total hip replacement surgery had been experiencing increased wear on their acetabular polyethylene liners than doctors would have expected. (theguardianlegalnetwork.com)
Reconstruction1
- To understand the fracture pattern of a fractured acetabulum, it is essential to have minimum three x-ray views, though use of CT scan with 3-D reconstruction of images has made understanding of these fractures easier. (wikipedia.org)
Patterns1
- These can help in understanding the forces involved in creating the fracture, the direction of displacement, and the fracture patterns involved. (medscape.com)
Surgical management1
- Non-surgical management consists of reducing the dislocated joint by maneuver under anaesthesia and applying traction to the limb to maintain position of joint and fractured bones. (wikipedia.org)