1,891 results match your criteria Acetabulum Fracture Imaging


[Digital study of the ideal position of lag screw internal fixation in the anterior column of the acetabulum].

Authors:
Yazhi Bai Qiang Liu

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Jun;35(6):684-689

Department of Orthopedics, Shanxi Bethune Hospital, Taiyuan Shanxi, 030032, P.R.China.

Objective: To find the ideal position of lag screw internal fixation in the anterior column of acetabulum by digital technology, and measure its related parameters, so as to improve the accuracy of lag screw implantation.

Methods: The CT scan data of 266 semi-pelvic raw in 133 cases (78 males and 55 females, aged 18-65 years old with an average age of 42 years) were collected between January 2019 and January 2020 to compose three-dimensional models. According to the relationship between the peripheral bone cortex of the anatomical channel and the lag screw, a new standard for the ideal position of lag screw fixation in the anterior column of acetabulum was proposed to simulate the implantation of the screw. Read More

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The largest secure corridor of the infra-acetabular screw-a 3-D axial perspective analysis.

BMC Musculoskelet Disord 2021 Jun 16;22(1):551. Epub 2021 Jun 16.

Department of Traumatic Orthopaedics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.

Background: The infra-acetabular screw which is placed from the pubis to the ischium can be used as a special positional screw of the posterior column of the acetabulum. This study was performed to simulate the surgical procedure and obtain the ideal insertion point, diameter, length and angle of the screw through the method of axial perspective in Chinese patients.

Methods: We randomly collected the pelvic computed tomography (CT) scans of 200 adults. Read More

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Which radiograph is most accurate for assessing hip joint penetration in infra-acetabular screw placement?

Medicine (Baltimore) 2021 Jun;100(24):e26392

Department of Orthopedic Surgery, Korea University Guro Hospital, Korea University Medical Center, Seoul, Republic of Korea.

Abstract: Although infra-acetabular screws have been used for anterior and posterior column transfixation, a screw penetrating the hip joint can result in harmful complications. However, the most accurate intraoperative radiologic imaging tool for identifying articular penetration has not been established. The purpose of the present study was, therefore, to evaluate the consistency with which standard pelvic radiographs compared with computed tomography (CT) can be used for demonstrating articular penetration. Read More

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Matta's criteria may be useful for evaluating and predicting the reduction quality of simultaneous acetabular and ipsilateral pelvic ring fractures.

BMC Musculoskelet Disord 2021 Jun 14;22(1):544. Epub 2021 Jun 14.

Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Chang Gung University, 5, Fu-Hsin St. Kweishan, 33302, Tao-Yuan, Taiwan.

Background: Although the incidence, types, and radiological outcomes of simultaneous ipsilateral pelvic ring and acetabular fractures have been reported, there have been no reports on factors that may affect the quality of acetabular fracture reduction. Here, we evaluate the radiological outcomes of patients treated for simultaneous ipsilateral pelvic and acetabular fractures and analyze the factors that affect the quality of acetabular fracture reduction.

Methods: We conducted a retrospective review of patients treated for simultaneous ipsilateral pelvic ring and acetabular fractures between 2016 and 2020. Read More

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Management and Long-Term Outcome of Acetabular Fractures in Dogs: A Retrospective Study of 49 Dogs.

Vet Comp Orthop Traumatol 2021 Jun 8. Epub 2021 Jun 8.

Department on Clinical Sciences and Services, Queen Mother Hospital for Animals, Royal Veterinary College, United Kingdom.

Objective:  The aim of this study was to categorize the presentation, management, complications and long-term outcome of canine acetabular fractures, and to determine the factors affecting outcome.

Materials And Methods:  Case records and imaging for dogs with acetabular fractures were reviewed with long-term follow-up via canine brief pain inventory (CBPI) and owner questionnaires.

Results:  The majority of fractures were in the mid-third (36/52) and caudal-third (13/52) with few in the cranial-third of the acetabulum (3/52). Read More

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[Hemiarthroplasty for geriatric femoral neck fractures].

Oper Orthop Traumatol 2021 Jun 27;33(3):245-261. Epub 2021 May 27.

Fachbereich Orthopädie, Klinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, Gebäude Ost 10, 20246, Hamburg, Deutschland.

Objective: Restoration of pain-free joint function by implantation of a bipolar hemiarthroplasty via anterolateral approach.

Indications: Elderly multimorbid patients >70 years, age >80 years, low functional demand.

Contraindications: Infection. Read More

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Acetabular Stress Fracture in a Healthy Male Amateur Endurance Runner. A Case Report.

J Orthop Case Rep 2020 May-Jun;10(3):85-87

Department of Orthopaedic Surgery, San Fernando General Hospital, Independence Ave, San Fernando, Trinidad, West Indies.

Introduction: Stress fractures are overuse injuries resulting from repetitive submaximal loading of a bone. Acetabular stress fractures while highly uncommon can occur in those undergoing intense endurance training as is the case with military recruits. Diagnosis of this injury can be dubious at times, with magnetic resonance imaging (MRI) being the most sensitive diagnostic tool considering the lower sensitivity of plain film radiography. Read More

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Management of peri-prosthetic joint infection and severe bone loss after total hip arthroplasty using a long-stemmed cemented custom-made articulating spacer (CUMARS).

BMC Musculoskelet Disord 2021 Apr 16;22(1):358. Epub 2021 Apr 16.

Brighton and Sussex University Hospitals, Brighton, UK.

Background: There is little evidence on techniques for management of peri-prosthetic infection (PJI) in the context of severe proximal femoral bone loss. Custom-made articulating spacers (CUMARS) utilising cemented femoral stems as spacers was described providing better bone support and longer survival compared to conventional articulating spacers. We retrospectively report our experience managing PJI by adaptation of this technique using long cemented femoral stems where bone loss precludes use of standard stems. Read More

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Three-dimensional Computed Tomography Posterior Iliac Oblique Images Enhance Preoperative Planning for Acetabular Fracture Surgery.

J Surg Orthop Adv 2021 ;30(1):50-54

Department of Orthopaedics, Harborview Medical Center, Seattle, Washington.

The advent of computed tomography and development of three-dimensional (3-D) reconstructions has allowed for profound advances in the understanding of complex acetabular fractures. The authors sought to determine the impact of 3-D reconstructions on understanding of the morphology of these injuries. A survey of 20 fellowship-trained orthopaedic trauma surgeons was undertaken to assess the utility of these reconstructions on understanding three complex posterior acetabulum fractures. Read More

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Rapidly destructive coxopathy due to dialysis amyloidosis: a case report.

Mod Rheumatol Case Rep 2021 Apr 15:1-5. Epub 2021 Apr 15.

Department of Orthopaedic Surgery and Rheumatology, Toho University Sakura Medical Center, Chiba, Japan.

Rapidly destructive coxopathy (RDC) is a disease that is sometimes seen in geriatric patients. A total hip arthroplasty (THA) is mostly chosen to treat the RDC, but few cases are known that received THAs due to RDC associated with dialysis amyloidosis. We report a case of RDC due to dialysis amyloidosis with special references to its pathophysiology. Read More

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Mapping of acetabular posterior wall fractures using a three-dimensional virtual reconstruction software.

Injury 2021 Jun 1;52(6):1403-1409. Epub 2021 Apr 1.

Guro Hospital, Korea University Medical Center, Seoul, Republic of Korea. Electronic address:

Introduction: The aim of this study was to analyze and describe the fracture patterns of the acetabular posterior wall based on quantitative measurements of the fracture characteristics.

Materials And Methods: Computed tomography images of 51 patients with acetabular posterior wall fractures from an initial cohort of 216 acetabular fractures were imported into a three-dimensional (3D) virtual software. The reconstructed 3D images were utilized to evaluate the following: (i) fracture line mapping on the inner articular and retro-acetabular surfaces, (ii) common zones of fracture and marginal impaction, and (iii) categorization by location and pattern of comminution. Read More

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Obturator Oblique and Pubic Ramus Inlet Views Can Better Guide the Insertion of an Anterior Column Acetabular Screw.

Orthop Surg 2021 May 5;13(3):1086-1093. Epub 2021 Apr 5.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: The objective of the present paper was to investigate the value of obturator oblique and pubic ramus inlet views in guiding anterior column acetabular screw insertion.

Methods: We collected pelvic CT scans at the diagnostic imaging center of our hospital between 2017 and 2019. Virtual three-dimensional (3D) models of the pelvis were created based on the CT scans. Read More

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[Measurement of the maximum corridor parameters of infra acetabular screw and evaluation of the feasibility of screw insertion by digital analysis].

Zhongguo Gu Shang 2021 Mar;34(3):220-5

Department of Orthopedics of Traumatology, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu 241001, Anhui, China.

Objective: To measure the maximum corridor parameters of the infra acetabular screw and evaluate the feasibility of screw insertion through digital analysis of the acetabular structure.

Methods: The pelvic CT data of 100 patients who received plain pelvic CT scan from April 2013 to June 2015 were retrospectively analyzed. There were 50 males, aged 20 to 84 years, with an average age of (48. Read More

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Surgical outcomes of transverse acetabular fractures and risk factors for poor outcomes.

BMC Musculoskelet Disord 2021 Mar 1;22(1):222. Epub 2021 Mar 1.

Department of Orthopedic Surgery, Bio-medical Research Institute, Pusan National University Hospital, 179 Gudeok-Ro Seo-Gu, Busan, 49241, Republic of Korea.

Background: Transverse acetabular fractures, although classified as elementary, have worse outcomes than other types of acetabular fractures. Prognostic factors for this fracture type are not clearly established. This study aimed to assess the surgical outcomes of transverse acetabular fractures and subtypes thereof and to investigate the prognostic factors. Read More

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Interobserver and intraobserver agreement for Letournel acetabular fracture classification system using 3-dimensional printed solid models.

World J Orthop 2021 Feb 18;12(2):82-93. Epub 2021 Feb 18.

Division of Orthopedic Surgery, Rambam Health Care Campus, Haifa 3525408, Israel.

Background: Acetabular fractures pose diagnostic and surgical challenges. They are classified using the Judet-Letournel system, which is based solely on X-ray. However, computed tomography (CT) imaging is now more widely utilized in diagnosing these injuries. Read More

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February 2021

Internal fixation of anterior acetabular fractures with a limited pararectus approach and the anatomical plates: preliminary results.

BMC Musculoskelet Disord 2021 Feb 18;22(1):203. Epub 2021 Feb 18.

Department of Orthopaedics, Suizhou Hospital, Hubei university of medicine, Suizhou, China.

Background: The surgical treatment of acetabular fracture has adverse outcomes and high risk, and minimally invasive method is a good way to reduce complications and improve hip joint function. This study is to investigate the treatment of certain acetabular fractures primarily involving the anterior column and quadrilateral plate using a limited pararectus approach and the anatomical plates.

Methods: A consecutive cohort of 17 patients with anterior displaced acetabular fractures were managed operatively with a limited approach and the anatomical plates. Read More

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February 2021

Feasibility of Imaging-Based 3-Dimensional Models to Design Patient-Specific Osteosynthesis Plates and Drilling Guides.

JAMA Netw Open 2021 02 1;4(2):e2037519. Epub 2021 Feb 1.

3D Lab, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

Importance: In acetabular fracture surgery, achieving an optimal reconstruction of the articular surface decreases the risk of osteoarthritis and the subsequent need for total hip arthroplasty. However, no one-size-fits-all osteosynthesis plate is available owing to differences in fracture patterns and variations in pelvic anatomy. Currently, osteosynthesis plates need to be manually contoured intraoperatively, often resulting in inadequate reduction and fixation of the fractured segments. Read More

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February 2021

Accuracy of Posterior Wall Acetabular Fracture Lag Screw Placement: Correlation Between Intraoperative Fluoroscopy and Postoperative Computer Tomography.

J Orthop Trauma 2020 12;34(12):650-655

Department of Orthopaedic Surgery, Saint Louis University School of Medicine, St. Louis, MO.

Objective: Compare intraoperative "on end" fluoroscopy lag screw position to postoperative computer tomography.

Design: Retrospective review.

Clinical Setting: Level 1 trauma center. Read More

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December 2020

[Fixation of acetabulum posterior column fracture, arthroscopy assisted].

Acta Ortop Mex 2020 Jul-Aug;34(4):222-227

Servicio de traumatología y ortopedia. Unidad Médica de Alta Especialidad, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social. Guadalajara, Jalisco, México.

Arthroscopic surgery of the hip has evolved significantly over the last years, offering an opportunity of treatment in several intra-articular pathologies. Recent methods and instrumental advances have allowed more frequent use of this procedure, with various indications such as: hip pain, acetabular labrum lesions, extraction of foreign bodies, debridement in septic arthritis, pincer impingement, and some extra-articular injuries. Another intra-articular hip pathology that benefits from arthroscopic assistance could be found in the management of simple acetabular fractures. Read More

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February 2021

Pseudo-Protrusio Acetabular Deformity in Osteogenesis Imperfecta Patients.

J Pediatr Orthop 2021 Mar;41(3):e285-e290

Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul.

Background: Osteogenesis imperfecta (OI) can develop a protrusio acetabuli deformity. However, the authors observed a pseudo-protrusio-type acetabular deformity (PPAD) on 3-dimensional computed tomography (3D-CT). Hence, we systematically reviewed 3D-CT and pelvis radiographs of OI patients and report the incidence and patterns of acetabular deformity in OI patients and the associated radiographic signs. Read More

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[Hip arthroscopy technique].

Oper Orthop Traumatol 2021 Feb 3;33(1):55-76. Epub 2021 Feb 3.

Klinik für Orthopädie, Unfallchirurgie, Sportmedizin, Klinikum Agnes Karll Laatzen/Klinikum Region Hannover, Hildesheimer Str. 158, 30880, Laatzen, Deutschland.

Objective: Arthroscopy of the central and peripheral compartment is an obligatory part of hip arthroscopy to evaluate, confirm or find pathologies and their treatment.

Indications: Loose bodies, lesions of the labrum and ligamentum capitis femoris, cartilage damage, femoroacetabular impingement, synovial diseases, initial osteoarthritis, femoral head necrosis (ARCO stage 1-2) and adhesions.

Contraindications: Local infections, bone tumors near the joint, extensive peri-articular ossification, severe arthrofibrosis with peri-articular involvement, advanced osteoarthritis, protrusio acetabuli, advanced femoral head necrosis (from ARCO stage 3-4 extended), recent fracture of the acetabulum and extensive joint capsule tears. Read More

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February 2021

Letter to the editor: Modified Stoppa as an alternative surgical approach for fixation of anterior fracture acetabulum: a randomized control clinical trial.

Authors:
Ahmed A Khalifa

J Orthop Surg Res 2021 01 29;16(1):96. Epub 2021 Jan 29.

Orthopaedic and Traumatolgy Department, Qena Faculty of Medicine and University Hospital, South Valley University, Qena, Egypt.

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January 2021

Open reduction and internal fixation of quadrilateral plate fractures in the elderly: association between initial fracture pattern and outcomes.

BMC Musculoskelet Disord 2021 Jan 29;22(1):122. Epub 2021 Jan 29.

Department of Orthopaedic Surgery, General Hospital of Central Theater Command, Wuhan Clinical Medicine College of Southern Medical University, 430070, Wuhan, China.

Background: Acetabular fractures with medial displacement of the quadrilateral plate (QLP) are common in the elderly. The presence of QLP fractures greatly increase the surgical difficulty of acetabular fractures. This study aims to evaluate the clinical radiological outcomes of open reduction and internal fixation (ORIF) in QLP fractures in elderly patients and to investigate factors potentially affecting the result. Read More

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January 2021

Treatment of anterior column posterior hemitransverse fracture with supra-ilioinguinal approach.

J Int Med Res 2021 Jan;49(1):300060520982824

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.

Objective: To report the feasibility and effect of the supra-ilioinguinal approach for treatment of anterior posterior hemitransverse fracture of the acetabulum.

Methods: Nineteen consecutive patients who underwent treatment for an anterior column posterior hemitransverse fracture of the acetabulum from January 2013 to June 2018 were retrospectively analyzed. All patients underwent treatment by the single supra-ilioinguinal approach with at least 1 year of follow-up. Read More

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January 2021

Transverse and transverse-variant acetabular fractures with ipsilateral sacroiliac joint injuries: A technical note for reduction and stabilization.

Injury 2021 Apr 2;52(4):1083-1088. Epub 2021 Jan 2.

McGovern Medical School at UTHealth Department of Orthopedic Surgery, Houston, TX, USA.

Transverse and T-type acetabular fractures are high energy fractures that may be associated with a disruption of the pelvic ring. While several studies report upon clinical findings and outcomes associated with combination injuries of the pelvic ring and acetabulum, there are limited reports discussing surgical treatment strategies for reduction and stabilization. Herein we focus on describing reduction and stabilization techniques of transverse or transverse-variant acetabular fractures with an associated ipsilateral partial disruption of the sacroiliac joint. Read More

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Geriatric acetabular fracture-ORIF or ORIF and acute total hip arthroplasty(aTHA).

Injury 2021 03 13;52(3):384-386. Epub 2021 Jan 13.

Orthopedic Trauma, University of Calgary, Foothills Medical Center, 3134 Hospital Drive NW, Calgary, Alberta T2N 5A1, Canada. Electronic address:

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Lower lumbar back pain occurring with transient hip osteoporosis: complication of prolonged suffering and neck of femur fracture in a 24-year-old pregnant patient.

BMJ Case Rep 2021 Jan 20;14(1). Epub 2021 Jan 20.

Orthopaedic and Trauma Surgery Department, EHC (Ensemble Hospitalier de la Côte), Morges, Vaud, Switzerland.

Six days after a normal delivery, a 24-year-old woman with atraumatic lumbosacral pain radiating to the left groin was referred to the orthopaedic surgeon due to worsening pain and impossible load bearing on the left lower limb. Standard pelvic radiographs revealed an unstable displaced left neck of femur (NOF) fracture. A CT scanner and MRI showed diffuse osteopaenia of the left proximal femur and the corresponding acetabulum. Read More

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January 2021

Trabecular Metal Augments for Severe Acetabular Defects in Revision Hip Arthroplasty: A Long-Term Follow-Up.

J Arthroplasty 2021 05 29;36(5):1740-1745. Epub 2020 Dec 29.

Dept. of Trauma and Orthopaedics, South Infirmary Victoria University Hospital, Cork, Ireland; University College Cork, Cork, Ireland.

Background: Paprosky type IIIa and IIIb acetabular defects remain technically challenging during revision hip arthroplasty. Numerous surgical options exist to counter extensive acetabular bone loss with high postoperative complication and revision rates reported. Our aim was to report comprehensive long-term outcomes of our experience with Trabecular Metal (TM) augments for these difficult cases. Read More

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Post-traumatic bilateral posterior hip dislocations with femoral head fracture on one side and acetabular fracture on the other side: a very rare presentation.

BMJ Case Rep 2021 Jan 18;14(1). Epub 2021 Jan 18.

Orthopaedics, Kasturba Medical College, Mangalore Campus, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Hip dislocations are common orthopaedic emergencies which need early intervention to have a better outcome. They usually occur as a result of high energy trauma with motor vehicle accidents being the most common cause followed by fall from height. Posterior hip dislocation is more common than anterior. Read More

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January 2021

Dual-mobility cups in total hip arthroplasty after femoral neck fractures: A retrospective study comparing outcomes between cemented and cementless fixation.

Injury 2021 Jun 31;52(6):1467-1472. Epub 2020 Dec 31.

Department of Orthopedic Surgery and Trauma, Hospital Galdakao-Usansolo, Bizkaia, Spain.

Introduction: Total hip arthroplasty (THA) after femoral neck fracture (FNF) is associated with an increased risk of dislocation. The goals of our study were (1) to determine dislocation and revision rates when dual-mobility cups (DMCs) are used in these patients, (2) to analyze clinical and radiographic outcomes, survivorship, complications and mortality rate, and (3) to compare results between cemented and cementless cups.

Patients And Methods: We retrospectively reviewed patients with FNF treated using DMC-THA between 2011 and 2018. Read More

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