1,670 results match your criteria Acetabulum Fracture Imaging


Surgical Management of Primary Bone Lymphoma of the Hip: A Case Report and Review of the Literature.

Case Rep Orthop 2019 3;2019:3174768. Epub 2019 Mar 3.

Department of Haematology, Altnagelvin Area Hospital, Glenshane Road, Londonderry, Co. Londonderry, Ireland.

Introduction: Primary bone lymphoma (PBL) is a rare bone malignancy which may present with atraumatic pain, swelling, or pathological fracture. Whilst the femur is the most commonly affected site, any bone may be involved. PBL should be distinguished from other bone lesions to determine clinical management. Read More

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http://dx.doi.org/10.1155/2019/3174768DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421802PMC
March 2019
4 Reads

Acute total hip arthroplasty combined with internal fixation for displaced acetabular fractures in the elderly: a short-term comparison with internal fixation alone after a minimum of two years.

Bone Joint J 2019 04;101-B(4):478-483

Department of Surgical Sciences, Section of Orthopaedics, Uppsala University Hospital, Uppsala, Sweden.

Aims: Displaced, comminuted acetabular fractures in the elderly are increasingly common, but there is no consensus on whether they should be treated non-surgically, surgically with open reduction and internal fixation (ORIF), or with acute total hip arthroplasty (THA). A combination of ORIF and acute THA, an approach called 'combined hip procedure' (CHP), has been advocated and our aim was to compare the outcome after CHP or ORIF alone.

Patients And Methods: A total of 27 patients with similar acetabular fractures (severe acetabular impaction with or without concomitant femoral head injury) with a mean age of 72. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-1027.R2DOI Listing
April 2019
1 Read

Imaging of Pelvic and Femoral Fixation Hardware: Normal Findings and Hardware Failure.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):e1-e19. Epub 2019 Mar 29.

Department of Orthopaedics, Banner Health and the University of Arizona-Tucson, Tucson, Arizona.

Good outcomes following treatment of pelvic ring injuries, acetabular fractures, and femur fractures rely on restoration of native pelvic or limb alignment, anatomical reduction and rigid stability of articular fractures, and early postoperative mobilization. Multiple surgical approaches, reduction aids, and orthopaedic implants are available to stabilize these fractures. Despite best practices, complications including hardware failure, nonunions, malunions, and infections occur. Read More

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http://dx.doi.org/10.1055/s-0039-1681048DOI Listing
April 2019
1 Read

The Association of Iliac and Sacral Insufficiency Fractures and Implications for Treatment: The Role of Bone Scans in Three Different Cases.

Cureus 2019 Jan 10;11(1):e3861. Epub 2019 Jan 10.

Neurological Surgery, University of Miami Hospital, Miami, USA.

Iliac wing fractures are under-diagnosed fractures often associated with sacral insufficiency fractures in osteoporotic patients. They are rarely seen alone. Insufficiency fractures of the iliac bone can often be missed on computerized tomography (CT) and magnetic resonance imaging (MRI) yet identified on radioisotope bone scans. Read More

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http://dx.doi.org/10.7759/cureus.3861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414187PMC
January 2019
2 Reads

Trabecular Titanium acetabular cups in hip revision surgery: mid-term clinical and radiological outcomes.

Hip Int 2018 Nov;28(2_suppl):61-65

1 Franco Scalabrino Orthopaedic Institute of Southern Italy, Messina, Italy.

Introduction:: Severe acetabular bone loss during revision hip arthroplasty can be restored with different surgical techniques. Best results have been observed using porous tantalum cementless cups. Trabecular Titanium (TT) cups were designed to reproduce the structure, mechanical and biological characteristics of trabecular bone. Read More

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http://dx.doi.org/10.1177/1120700018812992DOI Listing
November 2018
2 Reads

Internal fixation of acetabular fractures in an older population using the lateral-rectus approach: short-term outcomes of a retrospective study.

J Orthop Surg Res 2019 Jan 4;14(1). Epub 2019 Jan 4.

Department of Orthopaedic, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, Guangdong Province, China.

Purpose: This study aims to examine the clinical efficacy and surgical techniques of the lateral-rectus approach for treatment of acetabular factures in elderly patients.

Methods: After appropriate exclusion, 65 elderly patients with an acetabular fracture who was treated through the lateral-rectus approach from January 2011 and October 2016 were selected retrospectively. By analyzing the medical records retrospectively, the patients' characteristics, fracture type, mechanism of injury, comorbid conditions, ASA class, operative time, intra-operative blood loss, and post-operative complications were assessed. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-1039-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319000PMC
January 2019
13 Reads

Accuracy and safety of percutaneous periacetabular screw insertion using screw view model of navigation in acetabular fracture: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13316

Department of Orthopaedics.

Rationale: The purpose of this study was to estimate the efficacy and safety of percutaneous periacetabular screw (PPS) insertion assisted by screw view model of navigation (SVMN) to treat fracture of acetabulum.

Patient Concerns: A 61-year-old male patient was injured in a motorcycle accident, which caused pain, swelling, deformity and limited mobility on his right hip.

Diagnoses: He was diagnosed with fracture of acetabulum. Read More

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http://dx.doi.org/10.1097/MD.0000000000013316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310583PMC
December 2018

Curved periacetabular osteotomy using intraoperative real-time 3-dimensional computed tomography with a robotic C-arm system: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13519

Rationale: Curved periacetabular osteotomy (CPO) is a procedure with excellent surgical outcome that has been proposed for patients with development dysplasia of the hip (DDH). However, the surgical outcomes depend on the surgeon's experience and proficiency.

Patient Concerns: A 38-year-old female indicated she was experiencing left hip pain while walking. Read More

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http://dx.doi.org/10.1097/MD.0000000000013519DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283227PMC
November 2018
9 Reads

[Intraoperative Imaging in Pelvic Surgery].

Z Orthop Unfall 2018 Nov 12. Epub 2018 Nov 12.

Klinik für Unfall- und orthopädische Chirurgie, BG Unfallklinik Ludwigshafen.

Pelvic fractures may range from highly severe, life-threatening injuries to less acute clinical entities. There are several sub-entities that are summed up as pelvic injuries. Anatomically, there are fractures of the anterior or posterior pelvic ring. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0732-5986
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http://dx.doi.org/10.1055/a-0732-5986DOI Listing
November 2018
10 Reads

Risk analysis of patients with an osteolytic acetabular defect after total hip arthroplasty using subject-specific finite-element modelling.

Bone Joint J 2018 Nov;100-B(11):1455-1462

Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.

Aims: Osteolysis, secondary to local and systemic physiological effects, is a major challenge in total hip arthroplasty (THA). While osteolytic defects are commonly observed in long-term follow-up, how such lesions alter the distribution of stress is unclear. The aim of this study was to quantitatively describe the biomechanical implication of such lesions by performing subject-specific finite-element (FE) analysis on patients with osteolysis after THA. Read More

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http://dx.doi.org/10.1302/0301-620X.100B11.BJJ-2018-0092.R2DOI Listing
November 2018
2 Reads

Periprosthetic acetabular fractures: A New classification proposal.

Injury 2018 Nov;49 Suppl 3:S65-S73

Orthopedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, AOU Policlinico Consorziale, University of Bari "Aldo Moro",Bari, Italy.

Introduction: Acetabulum periprosthetic fractures are rare, but are increasing, due to increase in high-energy trauma and a decrease in mortality index. Reconstruction of an acetabular fracture, in the presence of hip arthroplasty can be very complex and represents a real challenge for orthopedic surgeon. Aim of this multicentric study is to classify periprosthetic acetabulum fractures and to propose a treatment algorithm. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.061DOI Listing
November 2018
1 Read

Staple versus suture closure for ankle fracture fixation: Retrospective chart review for safety and outcomes.

Foot (Edinb) 2018 Dec 22;37:71-76. Epub 2018 Aug 22.

University of Alabama at Birmingham, Department of Orthopaedic Surgery, USA. Electronic address:

Introduction/aim: Recent comparisons of suture versus metal staple skin closure on the rates of wound complications in orthopaedic surgeries have yielded conflicting results. Several studies have since started to approach this question based on anatomic location, comparing suture versus staple closure in total hip and knee arthroplasty and acetabulum fracture surgery. Ankle fractures are one of the most commonly treated fractures by orthopaedic surgeons with unique challenges to skin closure due to the lack of subcutaneous support. Read More

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http://dx.doi.org/10.1016/j.foot.2018.08.003DOI Listing
December 2018
8 Reads

The Ilioinguinal Approach: State of the Art.

JBJS Essent Surg Tech 2018 Jun 27;8(2):e19. Epub 2018 Jun 27.

Academic Department of Trauma & Orthopaedic Surgery, University of Leeds, Leeds General Infirmary, Leeds, United Kingdom.

Introduction: The ilioinguinal approach is the standard approach for the open reduction and internal fixation of the majority of displaced, anteriorly based acetabular fractures as it offers wide access to the acetabulum, is extensile, and has been associated with enhanced recovery.

Indications & Contraindications:

Step 1 Preoperative Planning: Review the patient's general condition and imaging studies and plan the sequence of reduction and fixation.

Step 2 Preparation And Patient Positioning: Position the patient supine on the fracture table, induce anesthesia, prepare the surgical field, administer intravenous antibiotics, and apply traction. Read More

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http://dx.doi.org/10.2106/JBJS.ST.16.00101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143306PMC
June 2018
1 Read

3D surgical printing for preoperative planning of trabecular augments in acetabular fracture sequel.

Injury 2018 Sep;49 Suppl 2:S36-S43

Department of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, C/ Doctor Esquerdo, 46, 28007, Madrid, Spain. Electronic address:

We describe the methodical and possibilities of 3D surgical printing in preoperative planning for a total hip arthroplasty in acetabular deformity after acetabular fractures, showing a case of a 43-year-old with posttraumatic arthritis after both column fracture of the left acetabulum that was treated non operatively, supporting the do it yourself mode. Read More

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http://dx.doi.org/10.1016/j.injury.2018.07.014DOI Listing
September 2018
1 Read

Establishment of fluoroscopy views and standardized procedure of percutaneous magic screw insertion for acetabulum fractures.

BMC Musculoskelet Disord 2018 Sep 12;19(1):332. Epub 2018 Sep 12.

Orthopedic Department, Chinese PLA General Hospital, Fuxing Road, 28, Beijing, 100853, People's Republic of China.

Background: To place the magic screw more simply, we established a set of reproducible fluoroscopic views and a standardized procedure of magic screw insertion.

Materials And Methods: This study on the magic screw tunnel uses a three-dimensional reconstruction model and a skeleton projection. The 3D model of the pelvis was made to be transparent and it was rotated to the place where the ischial spine was just sheltered by the posterior wall of the acetabulum. Read More

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http://dx.doi.org/10.1186/s12891-018-2228-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136216PMC
September 2018
3 Reads

3D printing in designing of anatomical posterior column plate.

J Clin Orthop Trauma 2018 Jul-Sep;9(3):236-240. Epub 2018 Jul 30.

Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

Background: Acetabulum has a complex anatomy due to which anatomical acetabular plates are still under developmental phase. Although intra-operative contouring of reconstruction plate is done as a standard practice, it is associated with increased operative time and morbidity of patient. We have designed an acetabular plate for posterior fixation from experience of previous studies performed in our institute on acetabular fracture fixation which should be appropriate for most of the patient of Indian origin. Read More

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http://dx.doi.org/10.1016/j.jcot.2018.07.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128798PMC
July 2018
11 Reads

A new navigational apparatus for fixation of acetabular posterior column fractures with percutaneous retrograde lagscrew: Design and application.

Medicine (Baltimore) 2018 Sep;97(36):e12134

Department of Orthopedics and Traumatology, Nanfang Hospital, Nnanfang Medical University, Guangzhou, Guangdong, People's Republic of China.

The purpose of this study was to analyze the feasibility and accuracy of a newly developed guide apparatus for the percutaneous retrograde lag screw fixation of posterior column of acetabular fractures. 3D pelvic models were reconstructed from the helical computed tomographic data of 33 adult patients using the Mimics 10.01 software. Read More

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http://dx.doi.org/10.1097/MD.0000000000012134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133477PMC
September 2018
3 Reads

Polyethylene Hip Resurfacing to Treat Arthritis and Severe Acetabular Insufficiency.

J Arthroplasty 2018 11 31;33(11):3508-3513. Epub 2018 Jul 31.

Seattle, Washington.

Background: Hip dysplasia is the leading cause of hip arthritis in young adults. These patients often participate in active lifestyles that require a full and stable range of motion.

Methods: Between 2001 and 2011, 232 consecutive polyethylene resurfacing arthroplasties were performed in 201 patients with advanced arthritis from severe acetabular insufficiency due to dysplasia. Read More

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http://dx.doi.org/10.1016/j.arth.2018.07.023DOI Listing
November 2018
3 Reads

Three-dimensional printing-assisted surgical technique with limited operative exposure for both-column acetabular fractures.

Ulus Travma Acil Cerrahi Derg 2018 Jul;24(4):369-375

Department of Orthopedic Surgery, College of Medicine, Chungbuk National University, Cheongju-Korea.

Background: It is often difficult to achieve satisfactory reduction and fixation of both-column acetabular fractures owing to the complexity of the regional anatomy of the pelvis and the fracture configuration, which is commonly associated with a high degree of comminution. Herein, we describe the use of a three-dimensional (3D) patient-specific printed model of the pelvis to facilitate preoperative planning, simulate the fracture reduction procedure, and pre-contour the fixation plates for treating both-column acetabular fractures.

Methods: The 3D-printed model was constructed using a fused deposition modeling method with computed tomography images as inputs. Read More

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http://dx.doi.org/10.5505/tjtes.2018.47690DOI Listing
July 2018
1 Read

Central dislocation of femoral head without involvement of acetabular anterior and posterior columns.

J Int Med Res 2018 Aug 1;46(8):3388-3393. Epub 2018 Jul 1.

The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.

Objective This study was performed to explore the treatment of central dislocation of the femoral head without involvement of the acetabular columns. Methods Preoperatively, a three-dimensionally printed model of the patient's pelvis was manufactured according to the patient's computed tomography data. An all-locking anatomical plate was designed based on the mirror of the ipsilesional semi-pelvis. Read More

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http://dx.doi.org/10.1177/0300060518761786DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134659PMC
August 2018
19 Reads
1.095 Impact Factor

The obturator oblique and iliac oblique/outlet views predict most accurately the adequate position of an anterior column acetabular screw.

Int Orthop 2019 May 8;43(5):1205-1213. Epub 2018 Jun 8.

Department of Orthopaedic Surgery, Denver Health Medical Center, 777 Bannock St, Denver, CO, 80204, USA.

Objective: Percutaneous fixation of the acetabulum is a treatment option for select acetabular fractures. Intra-operative fluoroscopy is required, and despite various described imaging strategies, it is debatable as to which combination of fluoroscopic views provides the most accurate and reliable assessment of screw position.

Materials And Methods: Using five synthetic pelvic models, an experimental setup was created in which the anterior acetabular columns were instrumented with screws in five distinct trajectories. Read More

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http://link.springer.com/10.1007/s00264-018-3989-5
Publisher Site
http://dx.doi.org/10.1007/s00264-018-3989-5DOI Listing
May 2019
32 Reads

Management of Pelvic and Acetabular Fractures in the Obese Patient.

Orthop Clin North Am 2018 Jul 26;49(3):317-324. Epub 2018 Apr 26.

Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center (USA), 2500 North State Street, Jackson, MS 39216, USA.

Acetabular and pelvic ring injuries in obese patients are difficult to treat. Obese patients require great attention to detail during the trauma evaluation to prevent medical and anesthetic complications in the perioperative period. Radiographic evaluation is often compromised by modalities available and loss of resolution with plain film imaging. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.02.005DOI Listing
July 2018
18 Reads

Palliative Percutaneous Cryoablation and Cementoplasty of Acetabular Metastases: Factors Affecting Pain Control and Fracture Risk.

Cardiovasc Intervent Radiol 2018 Nov 7;41(11):1735-1742. Epub 2018 Jun 7.

Department of Radiology (ANK, GDS, TDA, MRC), Mayo Clinic, 200 1st St. SW, Rochester, MN, 55905, USA.

Purpose: To characterize the response of patients with acetabular metastases following combined cryoablation and cementoplasty (CCC) for pain palliation and fracture risk reduction, based on completeness of ablation and the presence of pre-existing pathologic fracture.

Materials And Methods: Thirty-nine consecutive acetabular CCC procedures were performed in 37 patients (24 M:13F, age 66 ± 8 years). Pain was assessed using a 0-10 numeric rating scale. Read More

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http://link.springer.com/10.1007/s00270-018-1998-9
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http://dx.doi.org/10.1007/s00270-018-1998-9DOI Listing
November 2018
13 Reads

Biomechanical analysis of supra-acetabular insufficiency fracture using finite element analysis.

J Orthop Sci 2018 Sep 14;23(5):825-833. Epub 2018 Jun 14.

Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan.

Background: Supra-acetabular insufficiency fractures (SAIFs) occur in the upper acetabulum and are rare compared with insufficiency sacral, femoral head, or ischial fractures. However, SAIFs are known to occur in low grade trauma, and the underlying mechanism is still remained unclear.

Methods: We performed biomechanical analysis using finite element analysis to clarify the mechanisms underlying the development of SAIFs. Read More

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http://dx.doi.org/10.1016/j.jos.2018.04.005DOI Listing
September 2018
2 Reads

Functional outcome of acute primary total hip replacement after complex acetabular fractures.

Eur J Orthop Surg Traumatol 2018 Dec 29;28(8):1609-1616. Epub 2018 May 29.

Department of Orthopaedic Surgery, Liaquat National Hospital, Karachi, Pakistan.

Purpose: To assess the functional outcome of acute primary total hip replacement in the management of complex acetabular fractures.

Materials And Methods: This prospective observational study was conducted in orthopedic department of Liaquat National Hospital and Medical College, Karachi. The study was approved by the Ethics review committee of hospital (0190-2016). Read More

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http://dx.doi.org/10.1007/s00590-018-2230-yDOI Listing
December 2018
2 Reads

Clinical significance of three-dimensional skeleton-arterial model in the management of delayed reconstruction of acetabular fractures.

BMC Surg 2018 May 29;18(1):30. Epub 2018 May 29.

Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.1 Shuaifuyuan Wangfujing, Dongcheng District, Beijing, China.

Background: Delayed reconstruction of acetabular fractures remains a challenging task for orthopedists because of malunion, fracture line absorption, and scar formation. Accurate osteotomy, interfragmentary release, and proper adaptation of plates are keys to successful surgery. Prevention of superior gluteal artery (SGA) injury induced by cleaning of the osteotylus and reduction of the sciatic notch is also important. Read More

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http://dx.doi.org/10.1186/s12893-018-0362-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5975535PMC
May 2018
2 Reads

[Effectiveness of acetabular revision using a metal reconstruction cage].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 06;31(6):641-646

Department of Orthopaedics, the First Hospital of Jiaxing, Jiaxing Zhejiang, 314000, P.R.China.

Objective: To explore the clinical outcomes of acetabular revision using a metal reconstruction cage.

Methods: Between October 2006 and October 2013, 16 patients (16 hips) underwent acetabular revision with a metal reconstruction cage. There were 4 males and 12 females, with the mean age of 62. Read More

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http://dx.doi.org/10.7507/1002-1892.201701017DOI Listing
June 2017
3 Reads

Middle-term follow-up results of Pipkin type IV femoral head fracture patients treated by reconstruction plate and bioabsorbable screws.

Chin J Traumatol 2018 Jun 26;21(3):170-175. Epub 2018 Apr 26.

Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu Sichuan, 610041, China. Electronic address:

Purpose: To investigate the mid-term curative effects of the treatment of Pipkin type IV femoral head fractures using a reconstruction plate and bioabsorbable screws and provide the evidence for clinical practice.

Methods: From February 2010 to September 2014, 21 patients with Pipkin type IV femoral head fractures were treated surgically. There were 13 males and 8 females with an average age of 41. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.12.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033733PMC
June 2018
18 Reads

Higher cartilage wear in unipolar than bipolar hemiarthroplasties of the hip at 2 years: A randomized controlled radiostereometric study in 19 fit elderly patients with femoral neck fractures.

Acta Orthop 2018 Oct 23;89(5):503-508. Epub 2018 May 23.

b Division of Orthopaedic Surgery , Oslo University Hospital.

Background and purpose - The use of unipolar hemi-arthroplasties for femoral neck fractures is increasing in some countries due to reports of higher reoperation rates in bipolar prostheses. On the other hand, it has been proposed that bipolar hemiarthroplasties have clinical advantages and less cartilage wear than unipolar hemiarthroplasties. We compared cartilage wear between bipolar and unipolar hemiarthroplasties using radiostereometric analyses (RSA), in patients aged 70 years or older. Read More

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https://www.tandfonline.com/doi/full/10.1080/17453674.2018.1
Publisher Site
http://dx.doi.org/10.1080/17453674.2018.1475899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202730PMC
October 2018
12 Reads

Secure corridor for infraacetabular screws in acetabular fracture fixation-a 3-D radiomorphometric analysis of 124 pelvic CT datasets.

J Orthop Surg Res 2018 May 21;13(1):119. Epub 2018 May 21.

Department of Trauma Surgery, BG Klinikum Bergmannstrost Halle gGmbH, Merseburger Straße 165, 06112, Halle (Saale), Germany.

Background: Acetabular fracture surgery is directed toward anatomical reduction and stable fixation to allow for the early functional rehabilitation of an injured hip joint. Recent biomechanical investigations have shown the superiority of using an additional screw in the infraacetabular (IA) region, thereby transfixing the separated columns to strengthen the construct by closing the periacetabular fixation frame. However, the inter-individual existence and variance concerning secure IA screw corridors are poorly understood. Read More

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http://dx.doi.org/10.1186/s13018-018-0833-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963032PMC
May 2018
3 Reads

Patient-reported outcome measures after surgery for an acetabular fracture.

Bone Joint J 2018 05;100-B(5):640-645

Department of Trauma Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.

Aims: The aim of this study was to record the incidence of post-traumatic osteoarthritis (OA), the need for total hip arthroplasty (THA), and patient-reported outcome measures (PROMS) after surgery for a fracture of the acetabulum, in our centre.

Patients And Methods: All patients who underwent surgery for an acetabular fracture between 2004 and 2014 were included. Patients completed the 36-Item Short Form Health Survey (SF-36) and the modified Harris Hip Score (mHHS) questionnaires. Read More

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http://dx.doi.org/10.1302/0301-620X.100B5.BJJ-2017-0871.R3DOI Listing
May 2018
1 Read

Total hip arthroplasty to treat acetabular protrusions secondary to rheumatoid arthritis.

J Orthop Surg Res 2018 Apr 19;13(1):92. Epub 2018 Apr 19.

Department of Orthopaedics, Lanzhou General Hospital of PLA, No. 333 South Binhe Road, Lanzhou, 730050, Gansu, People's Republic of China.

Background: The treatment of acetabular protrusions during total hip arthroplasty of patients with rheumatoid arthritis is difficult. A lack of bone stock, deficient medial cup support, and medialization of the joint center in those with protrusio acetabuli must be addressed during acetabular reconstruction. The purpose of this study was to assess the short-term clinical results of total hip arthroplasty in patients with severe acetabular protrusions secondary to rheumatoid arthritis. Read More

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http://dx.doi.org/10.1186/s13018-018-0809-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907719PMC
April 2018
9 Reads

Intraoperative assessment of reduction and implant placement in acetabular fractures-limitations of 3D-imaging compared to computed tomography.

J Orthop Surg Res 2018 Apr 10;13(1):78. Epub 2018 Apr 10.

Clinic for Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of Heidelberg, MINTOS - Medical Imaging and Navigation in Trauma and Orthopaedic Surgery, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany.

Background: In acetabular fractures, the assessment of reduction and implant placement has limitations in conventional 2D intraoperative imaging. 3D imaging offers the opportunity to acquire CT-like images and thus to improve the results. However, clinical experience shows that even 3D imaging has limitations, especially regarding artifacts when implants are placed. Read More

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http://dx.doi.org/10.1186/s13018-018-0780-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894195PMC
April 2018
2 Reads

A guideline for placement of an infra-acetabular screw based on anatomic landmarks via an intra-pelvic approach.

J Orthop Surg Res 2018 Apr 10;13(1):77. Epub 2018 Apr 10.

Department of Trauma Surgery, Regensburg University Medical Center, 93042, Regensburg, Germany.

Background: Due to demographic changes, more and more fracture patterns involving anterior acetabular structures occur. The infra-acetabular screw is seen a useful tool to increase stability in fixation of the acetabular cup. However, the exact position of this screw in relation to anatomic landmarks which are intra-operatively palpable via an intra-pelvic approach has not yet been determined. Read More

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http://dx.doi.org/10.1186/s13018-018-0786-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892032PMC
April 2018
3 Reads

Modified Stoppa approach for operative treatment of acetabular fractures: 10-year experience and mid-term follow-up.

Injury 2018 Jun 27;49(6):1137-1140. Epub 2018 Mar 27.

Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rottedam, the Netherlands. Electronic address:

Introduction: The (modified) Stoppa approach for acetabular fracture surgery has gained significant popularity and early results have been encouraging but clinical outcome at extensive follow-up is scarce. The purpose of this study is to provide an update on our experience with this approach for operative treatment of acetabular fractures and to assess clinical outcome at mid-term follow-up.

Methods: In this retrospective study, all patients treated operatively for an acetabular fracture using the Stoppa approach over a 10-year period were included. Read More

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http://dx.doi.org/10.1016/j.injury.2018.03.031DOI Listing
June 2018
3 Reads

Kite surfing: epidemiology of trauma.

BMJ Case Rep 2018 Mar 29;2018. Epub 2018 Mar 29.

Department of Orthopaedics and Trauma, Adelaide and Meath Hospital, incorporating the National Children's Hospital, Dublin, Ireland.

Kite surfing has become an increasingly popular recreational activity worldwide. Thrill seekers can span the water at high speeds and reach great heights risking injury and death. We report the case of a young kite surfer who sustained a fracture dislocation of the right acetabulum that required specialised surgical management. Read More

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http://dx.doi.org/10.1136/bcr-2017-223935DOI Listing
March 2018
6 Reads

Primary Lymphoma of the Pelvis: A Case Report.

J Orthop Case Rep 2017 Nov-Dec;7(6):6-9

Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.

Introduction: Primary lymphoma of the bone (PLB) is uncommon clinical entity with the vast majority of the cases are non-Hodgkin's lymphoma. Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of PLB.

Case Report: We report a case of 60-year-old female presented with pain in the right hip that persisted for 2 months. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.924DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868887PMC
March 2018
14 Reads

Using Ceramic-on-Ceramic Bearings in Total Hip Arthroplasty Necessitating 44- or 46-mm Metal Shells.

Orthopedics 2018 May 26;41(3):e354-e359. Epub 2018 Mar 26.

Ceramic-on-ceramic articulation shows the lowest wear, with a low incidence of osteolysis. A small cup limits options regarding liner thickness and femoral implant size. The purpose of this study was to evaluate the safety of a 4-mm-thick ceramic liner and the outcomes of cementless total hip arthroplasty using a 44- or 46-mm metal shell and a ceramic-on-ceramic bearing at mid- to long-term follow-up. Read More

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http://dx.doi.org/10.3928/01477447-20180320-01DOI Listing
May 2018
5 Reads

The Safe Zone Range for Cup Anteversion Is Narrower Than for Inclination in THA.

Clin Orthop Relat Res 2018 02;476(2):325-335

W. S. Murphy, Harvard Medical School, Boston, MA, USA H.H. Yun, Department of Orthopedic Surgery, Seoul Veterans Hospital, Seoul, South Korea B. Hayden, S. B. Murphy, Center for Computer Assisted and Reconstructive Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, MA, USA J. H. Kowal, Surgical Planning Associates, Inc, Boston, MA, USA.

Background: Cup malposition is a common cause of impingement, limitation of ROM, acceleration of bearing wear, liner fracture, and instability in THA. Previous studies of the safe zone based on plain radiographs have limitations inherent to measuring angles from two-dimensional projections. The current study uses CT to measure component position in stable and unstable hips to assess the presence of a safe zone for cup position in THA. Read More

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http://dx.doi.org/10.1007/s11999.0000000000000051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259696PMC
February 2018
3 Reads

Incidence and immediate management of genitourinary injuries in pelvic and acetabular trauma: a 10-year retrospective study.

BJU Int 2018 07 8;122(1):126-132. Epub 2018 Mar 8.

Department of Trauma and Orthopaedics, Tallaght Hospital, Dublin, Ireland.

Objective: To report the incidence of genitourinary (GU) injuries in pelvic and acetabular (P + A) fractures, to investigate associations between P + A fractures and GU injury patterns, and, as a secondary objective, to evaluate prospectively P + A fracture referrals with regard to adherence to the British Orthopaedic Association Standards for Trauma (BOAST) guidelines over a 12-month period.

Methods: A retrospective review of GU injuries associated with P + A fractures was performed for the period January 2006 to December 2016 in a national pelvic trauma centre in Ireland. Patient demographics, mechanism of injury and details of injuries were recorded. Read More

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http://dx.doi.org/10.1111/bju.14161DOI Listing
July 2018
7 Reads

Postmortem radiological case series of acetabular fractures after fatal aviation accidents.

Forensic Sci Med Pathol 2018 03 5;14(1):62-69. Epub 2018 Feb 5.

Department of Medical Biology, Section Clinical Anatomy and Embryology, Academic Medical Center, University of Amsterdam, Meibergdreef 15, 1105 AZ, Amsterdam, The Netherlands.

The purpose of this study was to describe radiological fracture patterns of the acetabulum sustained after fatal small aircraft aviation accidents, aiming at facilitating a better understanding of trauma mechanisms in a forensic setting. Postmortem conventional radiographs or CT scans of 29 victims of 20 small aircraft aviation accidents were analyzed for skeletal acetabular trauma. Among the 29 fatalities (27 males and 2 females, median age 55 years (range: 21-76 years)), 20 victims had pelvic fractures (69%), of which 19 victims (66%) had one or more acetabular fractures. Read More

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http://dx.doi.org/10.1007/s12024-018-9946-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830469PMC
March 2018
13 Reads

Glenoid neck Hounsfield units on computed tomography can accurately identify patients with low bone mineral density.

J Shoulder Elbow Surg 2018 Jul 1;27(7):1268-1274. Epub 2018 Feb 1.

Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MD, USA. Electronic address:

Background: Osteoporosis is a costly and morbid disease with the first presentation often with a fragility fracture. The purpose of this study was to assess whether Hounsfield unit (HU) measurements on shoulder computed tomography could identify patients at risk of osteoporosis and aid in its diagnosis.

Methods: We identified patients who had both a computed tomography scan of the glenoid and a dual-energy x-ray absorptiometry scan. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746173075
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http://dx.doi.org/10.1016/j.jse.2017.11.008DOI Listing
July 2018
20 Reads

Biaxial reduction technique for the medially displaced quadrilateral surface in acetabular fracture through the modified iliofemoral approach: An observational study.

Authors:
Byung Hoon Lee

Medicine (Baltimore) 2017 Dec;96(51):e9238

Treatment of acetabular fractures is technically demanding injuries. The complex surgical approaches and special equipment have been introduced for achieving accurate anatomical reduction.The aim of the study was to present our experiences of using a newly operative technique to achieve accurate reduction of articular dome impaction and of the quadrilateral surface without special equipment or traction device in reference to fracture reduction and fixation, technical aspects, and the incidence of complications. Read More

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http://dx.doi.org/10.1097/MD.0000000000009238DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758181PMC
December 2017
2 Reads

Evaluation of accuracy of virtual surgical planning for patient-specific pre-contoured plate in acetabular fracture fixation.

Arch Orthop Trauma Surg 2018 Apr 24;138(4):495-504. Epub 2018 Jan 24.

Department of Mechanical Engineering, Indian Institute of Technology, New Delhi, India.

Background: Acetabular fractures are amongst the most challenging fractures to treat because of complex anatomy. Open reduction and internal fixation remains the standard treatment for displaced acetabular fractures to achieve anatomical reduction as in any other intra-articular fracture. Patient-specific pre-contoured reconstruction plate template made by a pre-operative virtual surgical planning can be useful to respect patient's morphology, reduce surgical invasiveness and simplify the surgical procedure. Read More

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http://dx.doi.org/10.1007/s00402-018-2868-2DOI Listing
April 2018
6 Reads

MRI is Better Than CT Scan for Detection of Structural Pathologies After Traumatic Posterior Hip Dislocations in Children and Adolescents.

J Pediatr Orthop 2018 Jan 19. Epub 2018 Jan 19.

Departments of Orthopaedics.

Background: Traumatic posterior hip dislocations in children and adolescents requires emergent closed reduction. Postreduction imaging is necessary to assess the concentricity of reduction and structural injuries to the hip. There is no a consensus for which imaging is a modality of choice in such condition. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001127DOI Listing
January 2018
6 Reads

There Is No Column: A New Classification for Acetabular Fractures.

J Bone Joint Surg Am 2018 Jan;100(2):e8

Department of Orthopaedic Surgery, Sheba Medical Center, Tel HaShomer, Israel.

Background: The surgical treatment of acetabular fractures relies on the understanding of fracture architecture and their classification. The Judet and Letournel classification has been the cornerstone in understanding and treating acetabular fractures. Recently, there has been growing evidence of discrepancies and incompleteness in the Judet and Letournel classification, adversely affecting its clinical use. Read More

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http://dx.doi.org/10.2106/JBJS.17.00600DOI Listing
January 2018
1 Read

Clinical experience with three-dimensional printing techniques in orthopedic trauma.

J Orthop Sci 2018 Mar 8;23(2):383-388. Epub 2018 Jan 8.

Department of Orthopedic Surgery, Chungbuk National University Hospital, Chungbuk National University, College of Medicine, Cheong-Ju, Republic of Korea. Electronic address:

Background: To report our experiences with the use of three-dimensional (3D) printing in the field of orthopedic trauma.

Methods: This retrospective study enrolled 24 patients from three university teaching hospitals in whom 3D printing technique was applied: 14 patients with acetabular fractures and 10 patients with clavicular shaft fractures. We summarized our experiences with 3D printed bone models. Read More

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http://dx.doi.org/10.1016/j.jos.2017.12.010DOI Listing
March 2018
6 Reads

Hemiarthroplasty proximal femoral endoprostheses following tumour reconstruction: is acetabular replacement necessary?

Bone Joint J 2018 Jan;100-B(1):101-108

University of Manchester, Oxford Road, Manchester, M13 9PL, UK.

Aims: Dislocation rates are reportedly lower in patients requiring proximal femoral hemiarthroplasty than for patients undergoing hip arthroplasty for neoplasia. Without acetabular replacement, pain due to acetabular wear necessitating revision surgery has been described. We aimed to determine whether wear of the native acetabulum following hemiarthroplasty necessitates revision surgery with secondary replacement of the acetabulum after proximal femoral replacement (PFR) for tumour reconstruction. Read More

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http://online.boneandjoint.org.uk/doi/10.1302/0301-620X.100B
Publisher Site
http://dx.doi.org/10.1302/0301-620X.100B1.BJJ-2017-0005.R1DOI Listing
January 2018
7 Reads

Radiographic Evaluation of Acetabular Fractures: Review and Update on Methodology.

J Am Acad Orthop Surg 2018 Feb;26(3):83-93

From the Department of Orthopaedics, Denver Health Medical Center, Denver, CO (Dr. Mauffrey and Dr. Stacy), the Department of Orthopaedics, University of Colorado, Denver (Dr. York), the Department of Orthopaedics, Hughston Clinic, Atlanta, GA (Dr. Ziran), and the Department of Orthopaedics, University of Cincinnati Medical Center, Cincinnati, OH (Dr. Archdeacon).

Despite increased availability of modern imaging techniques, plain radiographs remain the initial step in the classification of acetabular fractures. The ability to interpret the injury configuration allows the surgeon to develop a thorough preoperative plan and to evaluate the quality of reduction and fixation intraoperatively. Proficiency in the mental conversion of a two-dimensional radiograph into a three-dimensional conceptual image is imperative. Read More

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http://dx.doi.org/10.5435/JAAOS-D-15-00666DOI Listing
February 2018
7 Reads

Analysis of mortality and fixation failure in geriatric fractures using quantitative computed tomography.

Injury 2018 Feb 15;49(2):249-255. Epub 2017 Dec 15.

Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, 593 Eddy Street, Providence, RI, 02903, United States.

Objectives: While osteoporosis has been shown to be a contributing factor in low energy fractures in the elderly, limited data exists regarding the correlation of bone mineral density (BMD) and T-Scores to mortality and failure of fracture fixation. This study seeks to determine the relationship between femoral neck BMD in elderly patients with typical geriatric fractures and mortality and fracture fixation failure using Quantitative Computed Tomography (QCT).

Materials And Methods: Patients over the age of 65 who sustained fractures of the proximal humerus, distal radius, pelvic ring, acetabulum, hip, proximal tibia, and ankle who also underwent a CT scan that included an uninjured femoral neck were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.injury.2017.12.010DOI Listing
February 2018
7 Reads