Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures
Bilateral acetabular fractures after seizure activity are rare, as most of these injuries are associated with high-energy trauma. It is hypothesized that rapid forceful contracture of hip musculature during a seizure can lead to the femoral head fracturing the medial wall and driving in proximal and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344122001844 |
| _version_ | 1828092096548962304 |
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| author | Marcantonio V. Pinci, MD Norberto J. Torres-Lugo, MD José Acosta-Julbe, BS David Deliz-Jimenez, MD Antonio Otero-López, MD Alberto Criado, MD |
| author_facet | Marcantonio V. Pinci, MD Norberto J. Torres-Lugo, MD José Acosta-Julbe, BS David Deliz-Jimenez, MD Antonio Otero-López, MD Alberto Criado, MD |
| author_sort | Marcantonio V. Pinci, MD |
| collection | DOAJ |
| description | Bilateral acetabular fractures after seizure activity are rare, as most of these injuries are associated with high-energy trauma. It is hypothesized that rapid forceful contracture of hip musculature during a seizure can lead to the femoral head fracturing the medial wall and driving in proximal and medial directions. Absence of standardized surgical treatment algorithms and literature-reported outcomes makes this fracture pattern challenging to orthopedic surgeons. To the best of our knowledge, no published data describe delayed simultaneous total hip arthroplasty for treating seizure-induced bilateral acetabular fractures with protrusio. We present a patient that sustained bilateral acetabular fractures after an alcohol-withdrawal seizure. The patient underwent delayed simultaneous total hip arthroplasty 3 months later with excellent functional outcomes at the 6-month follow-up. |
| first_indexed | 2024-04-11T06:24:05Z |
| format | Article |
| id | doaj.art-6c1c7b34420e4d668fbebccf5bf34343 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-11T06:24:05Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-6c1c7b34420e4d668fbebccf5bf343432022-12-22T04:40:28ZengElsevierArthroplasty Today2352-34412022-12-0118710Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal SeizuresMarcantonio V. Pinci, MD0Norberto J. Torres-Lugo, MD1José Acosta-Julbe, BS2David Deliz-Jimenez, MD3Antonio Otero-López, MD4Alberto Criado, MD5Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto RicoDepartment of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico; Corresponding author. Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, PO Box 365067, San Juan 00936-5067, Puerto Rico. Tel: +1 787 764 5095.School of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto RicoDepartment of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto RicoDepartment of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto RicoDepartment of Orthopaedic Surgery, Hospital La Concepción, San German, Puerto RicoBilateral acetabular fractures after seizure activity are rare, as most of these injuries are associated with high-energy trauma. It is hypothesized that rapid forceful contracture of hip musculature during a seizure can lead to the femoral head fracturing the medial wall and driving in proximal and medial directions. Absence of standardized surgical treatment algorithms and literature-reported outcomes makes this fracture pattern challenging to orthopedic surgeons. To the best of our knowledge, no published data describe delayed simultaneous total hip arthroplasty for treating seizure-induced bilateral acetabular fractures with protrusio. We present a patient that sustained bilateral acetabular fractures after an alcohol-withdrawal seizure. The patient underwent delayed simultaneous total hip arthroplasty 3 months later with excellent functional outcomes at the 6-month follow-up.http://www.sciencedirect.com/science/article/pii/S2352344122001844seizuresalcohol withdrawalacetabular fracturestotal hip arthroplastydelayed management |
| spellingShingle | Marcantonio V. Pinci, MD Norberto J. Torres-Lugo, MD José Acosta-Julbe, BS David Deliz-Jimenez, MD Antonio Otero-López, MD Alberto Criado, MD Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures Arthroplasty Today seizures alcohol withdrawal acetabular fractures total hip arthroplasty delayed management |
| title | Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures |
| title_full | Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures |
| title_fullStr | Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures |
| title_full_unstemmed | Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures |
| title_short | Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures |
| title_sort | simultaneous total hip arthroplasty for delayed management of bilateral acetabular fractures due to alcohol withdrawal seizures |
| topic | seizures alcohol withdrawal acetabular fractures total hip arthroplasty delayed management |
| url | http://www.sciencedirect.com/science/article/pii/S2352344122001844 |
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