Primary total hip replacement using Burch-Schneider cages for acetabular fractures
Introduction: Osteoporotic acetabular fractures are common and pose a difficult technical challenge for the trauma surgeon. Acute total hip arthroplasty (THA) using a Burch-Schneider antiprotrusio cage with immediate postoperative weight-bearing is a method to approach these injuries. This case seri...
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Veröffentlicht in: | Hip international 2022-05, Vol.32 (3), p.401-406 |
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creator | Liaw, Frank Govilkar, Siddharth Banks, Daniel Kankanalu, Pradeep Youssef, Bishoy Lim, Justin |
description | Introduction:
Osteoporotic acetabular fractures are common and pose a difficult technical challenge for the trauma surgeon. Acute total hip arthroplasty (THA) using a Burch-Schneider antiprotrusio cage with immediate postoperative weight-bearing is a method to approach these injuries. This case series reports our outcomes of acute THA using Burch-Schneider cages for acetabular fractures from a UK major trauma centre based on length of stay, radiological outcome, complications and outcome scores.
Methods:
Data were collected from all patients who underwent acute THA with a Burch-Schneider cage for acetabular fractures between June 2006 and August 2015. Patients were followed up clinically, radiologically, and using Oxford Hip Scores (OHS).
Results:
20 patients with a median age of 73 (range 60–90 years) were identified. All patients were independent walkers at follow-up, and had achieved radiological union. There were no dislocations, subsidence, revision or deep infections. Significant complications include 1 perioperative death as a result of complications arising from pre-existing pulmonary fibrosis; 1 deep vein thrombosis; 1 intraoperative arterial injury to the superior gluteal artery; and 1 leg-length discrepancy. Mean length of stay was 10 days. The mean OHS was 37/48 at a mean follow-up of 26 months.
Conclusions:
This case series further validates the use of Burch-Schneider cages with primary THA in acute acetabular fractures. |
doi_str_mv | 10.1177/1120700020957642 |
format | Article |
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Osteoporotic acetabular fractures are common and pose a difficult technical challenge for the trauma surgeon. Acute total hip arthroplasty (THA) using a Burch-Schneider antiprotrusio cage with immediate postoperative weight-bearing is a method to approach these injuries. This case series reports our outcomes of acute THA using Burch-Schneider cages for acetabular fractures from a UK major trauma centre based on length of stay, radiological outcome, complications and outcome scores.
Methods:
Data were collected from all patients who underwent acute THA with a Burch-Schneider cage for acetabular fractures between June 2006 and August 2015. Patients were followed up clinically, radiologically, and using Oxford Hip Scores (OHS).
Results:
20 patients with a median age of 73 (range 60–90 years) were identified. All patients were independent walkers at follow-up, and had achieved radiological union. There were no dislocations, subsidence, revision or deep infections. Significant complications include 1 perioperative death as a result of complications arising from pre-existing pulmonary fibrosis; 1 deep vein thrombosis; 1 intraoperative arterial injury to the superior gluteal artery; and 1 leg-length discrepancy. Mean length of stay was 10 days. The mean OHS was 37/48 at a mean follow-up of 26 months.
Conclusions:
This case series further validates the use of Burch-Schneider cages with primary THA in acute acetabular fractures.</description><identifier>ISSN: 1120-7000</identifier><identifier>EISSN: 1724-6067</identifier><identifier>DOI: 10.1177/1120700020957642</identifier><identifier>PMID: 32905712</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acetabulum - diagnostic imaging ; Acetabulum - injuries ; Acetabulum - surgery ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - adverse effects ; Follow-Up Studies ; Hip Fractures - diagnostic imaging ; Hip Fractures - etiology ; Hip Fractures - surgery ; Hip Prosthesis ; Humans ; Middle Aged ; Prosthesis Failure ; Radiography ; Reoperation ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Hip international, 2022-05, Vol.32 (3), p.401-406</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-100f6f34d575bee2eeacda67431422d71ed1fdc2a91a3653925ca95f54fb20c63</citedby><cites>FETCH-LOGICAL-c337t-100f6f34d575bee2eeacda67431422d71ed1fdc2a91a3653925ca95f54fb20c63</cites><orcidid>0000-0002-0368-3949</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1120700020957642$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1120700020957642$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32905712$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liaw, Frank</creatorcontrib><creatorcontrib>Govilkar, Siddharth</creatorcontrib><creatorcontrib>Banks, Daniel</creatorcontrib><creatorcontrib>Kankanalu, Pradeep</creatorcontrib><creatorcontrib>Youssef, Bishoy</creatorcontrib><creatorcontrib>Lim, Justin</creatorcontrib><title>Primary total hip replacement using Burch-Schneider cages for acetabular fractures</title><title>Hip international</title><addtitle>Hip Int</addtitle><description>Introduction:
Osteoporotic acetabular fractures are common and pose a difficult technical challenge for the trauma surgeon. Acute total hip arthroplasty (THA) using a Burch-Schneider antiprotrusio cage with immediate postoperative weight-bearing is a method to approach these injuries. This case series reports our outcomes of acute THA using Burch-Schneider cages for acetabular fractures from a UK major trauma centre based on length of stay, radiological outcome, complications and outcome scores.
Methods:
Data were collected from all patients who underwent acute THA with a Burch-Schneider cage for acetabular fractures between June 2006 and August 2015. Patients were followed up clinically, radiologically, and using Oxford Hip Scores (OHS).
Results:
20 patients with a median age of 73 (range 60–90 years) were identified. All patients were independent walkers at follow-up, and had achieved radiological union. There were no dislocations, subsidence, revision or deep infections. Significant complications include 1 perioperative death as a result of complications arising from pre-existing pulmonary fibrosis; 1 deep vein thrombosis; 1 intraoperative arterial injury to the superior gluteal artery; and 1 leg-length discrepancy. Mean length of stay was 10 days. The mean OHS was 37/48 at a mean follow-up of 26 months.
Conclusions:
This case series further validates the use of Burch-Schneider cages with primary THA in acute acetabular fractures.</description><subject>Acetabulum - diagnostic imaging</subject><subject>Acetabulum - injuries</subject><subject>Acetabulum - surgery</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Follow-Up Studies</subject><subject>Hip Fractures - diagnostic imaging</subject><subject>Hip Fractures - etiology</subject><subject>Hip Fractures - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1120-7000</issn><issn>1724-6067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtLAzEUhYMotlb3riRLN6N5h1lq8QUFxcd6yGRu2inzMpks_PemTHUhuLoXzncOnIPQOSVXlGp9TSkjmhDCSC61EuwAzalmIlNE6cP0Jznb6TN0EsI2cSyX4hjNOMuJ1JTN0euLr1vjv_DYj6bBm3rAHobGWGihG3EMdbfGt9HbTfZmNx3UFXhszRoCdr3HiRtNGRvjsfPGjtFDOEVHzjQBzvZ3gT7u796Xj9nq-eFpebPKLOd6zCghTjkuKqllCcAAjK2M0oJTwVilKVTUVZaZnBquJM-ZtCaXTgpXMmIVX6DLKXfw_WeEMBZtHSw0jemgj6FgQlBFmCA0oWRCre9D8OCKYapdUFLsliz-LpksF_v0WLZQ_Rp-pktANgEhrVFs--i71Pb_wG9ru3ry</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Liaw, Frank</creator><creator>Govilkar, Siddharth</creator><creator>Banks, Daniel</creator><creator>Kankanalu, Pradeep</creator><creator>Youssef, Bishoy</creator><creator>Lim, Justin</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0368-3949</orcidid></search><sort><creationdate>20220501</creationdate><title>Primary total hip replacement using Burch-Schneider cages for acetabular fractures</title><author>Liaw, Frank ; Govilkar, Siddharth ; Banks, Daniel ; Kankanalu, Pradeep ; Youssef, Bishoy ; Lim, Justin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-100f6f34d575bee2eeacda67431422d71ed1fdc2a91a3653925ca95f54fb20c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acetabulum - diagnostic imaging</topic><topic>Acetabulum - injuries</topic><topic>Acetabulum - surgery</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Follow-Up Studies</topic><topic>Hip Fractures - diagnostic imaging</topic><topic>Hip Fractures - etiology</topic><topic>Hip Fractures - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liaw, Frank</creatorcontrib><creatorcontrib>Govilkar, Siddharth</creatorcontrib><creatorcontrib>Banks, Daniel</creatorcontrib><creatorcontrib>Kankanalu, Pradeep</creatorcontrib><creatorcontrib>Youssef, Bishoy</creatorcontrib><creatorcontrib>Lim, Justin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hip international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liaw, Frank</au><au>Govilkar, Siddharth</au><au>Banks, Daniel</au><au>Kankanalu, Pradeep</au><au>Youssef, Bishoy</au><au>Lim, Justin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary total hip replacement using Burch-Schneider cages for acetabular fractures</atitle><jtitle>Hip international</jtitle><addtitle>Hip Int</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>32</volume><issue>3</issue><spage>401</spage><epage>406</epage><pages>401-406</pages><issn>1120-7000</issn><eissn>1724-6067</eissn><abstract>Introduction:
Osteoporotic acetabular fractures are common and pose a difficult technical challenge for the trauma surgeon. Acute total hip arthroplasty (THA) using a Burch-Schneider antiprotrusio cage with immediate postoperative weight-bearing is a method to approach these injuries. This case series reports our outcomes of acute THA using Burch-Schneider cages for acetabular fractures from a UK major trauma centre based on length of stay, radiological outcome, complications and outcome scores.
Methods:
Data were collected from all patients who underwent acute THA with a Burch-Schneider cage for acetabular fractures between June 2006 and August 2015. Patients were followed up clinically, radiologically, and using Oxford Hip Scores (OHS).
Results:
20 patients with a median age of 73 (range 60–90 years) were identified. All patients were independent walkers at follow-up, and had achieved radiological union. There were no dislocations, subsidence, revision or deep infections. Significant complications include 1 perioperative death as a result of complications arising from pre-existing pulmonary fibrosis; 1 deep vein thrombosis; 1 intraoperative arterial injury to the superior gluteal artery; and 1 leg-length discrepancy. Mean length of stay was 10 days. The mean OHS was 37/48 at a mean follow-up of 26 months.
Conclusions:
This case series further validates the use of Burch-Schneider cages with primary THA in acute acetabular fractures.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32905712</pmid><doi>10.1177/1120700020957642</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0368-3949</orcidid></addata></record> |
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subjects | Acetabulum - diagnostic imaging Acetabulum - injuries Acetabulum - surgery Aged Aged, 80 and over Arthroplasty, Replacement, Hip - adverse effects Follow-Up Studies Hip Fractures - diagnostic imaging Hip Fractures - etiology Hip Fractures - surgery Hip Prosthesis Humans Middle Aged Prosthesis Failure Radiography Reoperation Retrospective Studies Treatment Outcome |
title | Primary total hip replacement using Burch-Schneider cages for acetabular fractures |
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