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[Treatment of acetabular fractures with the two-incision minimally invasive (TIMI) approach].
Oper Orthop Traumatol
December 2024
Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstr., 35043, Marburg, Deutschland.
Objective: We present the two-incision minimally invasive (TIMI) approach for the treatment of anterior acetabular fractures.
Indications: Displaced fractures of the anterior column of the acetabulum; complex fractures of the acetabulum in combination with the posterior approach (Kocher-Langenbeck); periprosthetic fractures of the acetabulum with or without additional revision of the cup.
Contraindications: Possibly previous extended surgery in the anatomical region of the approach.
Mortality and complications after total hip arthroplasty via the posterior approach for displaced intracapsular hip fracture: Results from a regional trauma centre.
Ulster Med J
December 2024
Department of Trauma & Orthopaedics, Royal Victoria Hospital, 274 Grosvenor Road, Belfast, N. Ireland, BT12 6BA.
Introduction: Total hip arthroplasty (THA) for displaced intracapsular hip fracture is increasingly common. The aim of this project was to determine all-cause mortality rates, rates of significant complications and functional outcomes following THA for fractures.
Methods: An inpatient database search identified all patients undergoing THA for displaced intracapsular fracture in Northern Ireland's regional trauma centre from 2010-2017.
Comparing Austin Moore and Bipolar Prostheses for Management of Femoral Neck Fractures in Low-Resource Hospitals in Rural India.
Cureus
December 2024
Trauma and Orthopaedics, William Harvey Hospital, Ashford, GBR.
Background: Femoral neck fractures in elderly individuals cause significant morbidity, and their management is particularly challenging in rural areas where healthcare access is limited. The recommended treatment for displaced femoral neck fractures in elderly patients with poor mobility, cognitive dysfunction and multiple comorbidities is a hemiarthroplasty, which can be performed with various implants, including monopolar implants like Austin Moore prosthesis (AMP) and bipolar prosthesis (BP). In developing countries like India, rural areas often have constraints with healthcare resources.
View Article and Find Full Text PDFComparing surgical readmission, in-hospital complications, and charges between total hip arthroplasty and hemiarthroplasty for geriatric femoral neck fractures.
Bone Joint J
December 2024
Department of Orthopaedics, Xiangya Hospital Central South University, Changsha, China.
Aims: For displaced femoral neck fractures (FNFs) in geriatric patients, there remains uncertainty regarding the effect of total hip arthroplasty (THA) compared with hemiarthroplasty (HA) in the guidelines. We aimed to compare 90-day surgical readmission, in-hospital complications, and charges between THA and HA in these patients.
Methods: The Hospital Quality Monitoring System was queried from 1 January 2013 to 31 December 2019 for displaced FNFs in geriatric patients treated with THA or HA.
Retrospective paired cohort study comparing internal fixation for undisplaced versus hemiarthroplasty for displaced femoral neck fracture in the elderly.
Injury
October 2024
University Hospital La Princesa, c/ Diego de León 62 28006 Madrid, Spain.
Article Synopsis
- The study compares the effectiveness of internal fixation (IF) and hemiarthroplasty (HA) in treating non-displaced femoral neck fractures in patients over 65, focusing on surgical aggression, mortality, complications, and walking recovery after one year.
- Results indicate that IF leads to lower surgical aggression with shorter surgical times and less need for blood transfusion; however, HA has a significantly higher in-hospital mortality rate.
- Overall, while there are no major differences in long-term mortality or medical complications between the two methods, specific surgical complications vary, with higher rates of dislocations and periprosthetic fractures in HA, and fixation failures in IF.
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