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COMPLEX SURGERY:SPECIFIC TECHNIQUES  CURRENT TRENDS IN MODERN HIP SURGERY TRENDS AND REAL INNOVATIONS IN THE 1° IMPLANT 

Minerva Ortopedica e Traumatologica 2006 August;57(4):279-82

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: Italian

Complex hip arthroplasty after acetabular fracture

Massè A., Guzzi Susini E., Sandrucci G., Aprato A., Zoccola C.

S.O.D.U. Chirurgia Complessa del Bacino I Clinica Ortopedica e Traumatologica Università degli Studi di Torino, Torino


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Aim. Hip prosthesis for sequelae of acetabular fracture can be a challenging procedure, has a higher percentage of complications and give worse clinical results in respect to the same procedure when performed in other pathologies.
Methods. We report the clinical and radiographical results of 38 hip prostheses implanted for acetabular fractures. At a mean follow-up of 27 months the mean Harris Hip score was 89.
Results. In 3 patients dislocation occurred; in patients with big diameter heads it was not registered any case of dislocation. Six patients developed heterotopic ossification degree I or II of the Brooker classification. Two patients required revision for loosening of the acetabular component.
Conclusions. Emispherical press-fit cups can be used in the majority of the patients. The use of big diameter heads seems to reduce the incidence of prosthetic dislocation.

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