Delayed cementless total hip arthroplasty for neglected dislocation of hip combined with complex acetabular fracture and deficient bone stock  

作　　者：Ashok S Gavaskar Naveen Chowdary Tummala 

机构地区：[1]Department of Adult Joint Reconstructive Surgery,Parvathy Hospital,Sunil's Orthoworld,Railway Colony IIIStreet,Aminjikarai,Chennai 600029,Tamilnadu,Indiaar [2]Dhruv Clinics,Chennai 600094,Tamilnadu,India

出　　处：《Chinese Journal of Traumatology》2012年第6期370-372,共3页中华创伤杂志（英文版）

摘　　要：Total hip arthroplasty （THA） for an un- treated acetabular fracture is technically challenging and the long-term result is not so favorable. A 45-year-old fe- male patient with untreated column and comminuted poste- rior wall fracture of the acetabulum was treated in our insti- tution by reconstruction of the posterior wall using iliac strut autograft and plate stabilization of the posterior col- umn with cancellous grafting and cementless THA in a single stage. At 3 years＇ follow-up, the patient was independently mobile without limb length discrepancy. Radiological evalu-ation showed well integrated components and bone grafts. No evidence of aseptic loosening or osteolysis was found. This report aims to emphasize that bony acetabular recon- struction allows the use of primary hip components, which improves prosthesis longevity and preserves bone stock for a future revision.

关 键 词：ACETABULUM Fractures  bone Hipdislocation Arthroplasty  replacement  hip 

分 类 号：R687.4[医药卫生—骨科学]