Abstract text (incl. references and figure legends)
Introduction: as we know, an acetabular fracture in the elderly raises both lifestyle and bone fusion problems. In accordance with our previous research, in order to avoid expected complications, we have developed a new hybrid (bone-uniting and prosthetics) system for treating old, unstable, displaced acetabular fractures.
Material and method: in our institute, we have developed a new procedure that combines the principles of bone fusion and prosthetics for the care of patients over 65 years of age who are expected to be porotic. We solve cup instability with osteosynthesis, and we bridge the porosity with angle-stable implants. Given that the procedure combines the principles of osteosynthetic, i.e., fracture fixation, and does not require gluing, we can achieve sufficient theoretical stability. Arthrosis cannot occur as a result of the joint replacement, and good stability is expected due to the surrounding stabilization elements and shell plasma surface.
Results: in the last four years, we operated on 14 elderly patients with the mentioned system. The intraoperative results are encouraging: the operative time was reduced from 180 minutes to an average of 95 minutes, the intraoperative blood loss was controllable throughout (<2000 ml), and the patients could start partial exercise the next day. The long-term functional tests resulted in an HHS value above 80 for all patients, which is a good-excellent result according to international literature. In the initial 14 cases, we were not forced to undergo shell revision or any other changes, and the EQ-5D results of our patients are also encouraging.
Conclusion: the hybrid solution that we have introduced, that is, combining osteosynthetic and prosthetic principles, is a safe, stable procedure to be considered in the surgical procedure for acetabular fractures in the elderly.
Disclosure: Do you have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstract? (If not, please enter "No" in the text field.)
No