Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient
Bilateral acetabular fractures in elderly patients due to seizures are very rare and management is a challenge. The standard treatment for acetabular fracture, open reduction with internal fixation, is not recommended for the elderly because of poor bone quality and the need for bed rest. In the acu...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-06-01
|
| Series: | Arthroplasty Today |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344119300330 |
| _version_ | 1828427718027378688 |
|---|---|
| author | Christine Tempelaere, MD Pierre Diviné, MD Thierry Bégué, MD, PhD |
| author_facet | Christine Tempelaere, MD Pierre Diviné, MD Thierry Bégué, MD, PhD |
| author_sort | Christine Tempelaere, MD |
| collection | DOAJ |
| description | Bilateral acetabular fractures in elderly patients due to seizures are very rare and management is a challenge. The standard treatment for acetabular fracture, open reduction with internal fixation, is not recommended for the elderly because of poor bone quality and the need for bed rest. In the acute phase, total hip arthroplasty may be the best treatment option because it allows early mobilization and avoids bed rest complications. We report the case of a 76-year-old man with a bilateral comminuted acetabular fractures and a left fracture dislocation of the shoulder, treated by immediate shoulder arthroplasty and a one-stage bilateral total hip arthroplasty procedure at 3 weeks, with a good result at 1-year follow-up. Keywords: Simultaneous bilateral total hip arthroplasty, Epilepsy, Bilateral acetabulum fracture |
| first_indexed | 2024-12-10T17:06:43Z |
| format | Article |
| id | doaj.art-af9cf29103724d1cb3a8307bff6dbe57 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-10T17:06:43Z |
| publishDate | 2019-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-af9cf29103724d1cb3a8307bff6dbe572022-12-22T01:40:26ZengElsevierArthroplasty Today2352-34412019-06-0152139144Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patientChristine Tempelaere, MD0Pierre Diviné, MD1Thierry Bégué, MD, PhD2Corresponding author. 157 Rue de la Porte de Trivaux, 92140 Clamart, France. Tel.: +33 145374444.; Orthopaedic Department, CHU Antoine Béclère, Clamart, FranceOrthopaedic Department, CHU Antoine Béclère, Clamart, FranceOrthopaedic Department, CHU Antoine Béclère, Clamart, FranceBilateral acetabular fractures in elderly patients due to seizures are very rare and management is a challenge. The standard treatment for acetabular fracture, open reduction with internal fixation, is not recommended for the elderly because of poor bone quality and the need for bed rest. In the acute phase, total hip arthroplasty may be the best treatment option because it allows early mobilization and avoids bed rest complications. We report the case of a 76-year-old man with a bilateral comminuted acetabular fractures and a left fracture dislocation of the shoulder, treated by immediate shoulder arthroplasty and a one-stage bilateral total hip arthroplasty procedure at 3 weeks, with a good result at 1-year follow-up. Keywords: Simultaneous bilateral total hip arthroplasty, Epilepsy, Bilateral acetabulum fracturehttp://www.sciencedirect.com/science/article/pii/S2352344119300330 |
| spellingShingle | Christine Tempelaere, MD Pierre Diviné, MD Thierry Bégué, MD, PhD Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient Arthroplasty Today |
| title | Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient |
| title_full | Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient |
| title_fullStr | Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient |
| title_full_unstemmed | Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient |
| title_short | Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient |
| title_sort | early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient |
| url | http://www.sciencedirect.com/science/article/pii/S2352344119300330 |
| work_keys_str_mv | AT christinetempelaeremd earlysimultaneousbilateraltotalhiparthroplastyforthemanagementofbilateralacetabularfractureinanelderlypatient AT pierredivinemd earlysimultaneousbilateraltotalhiparthroplastyforthemanagementofbilateralacetabularfractureinanelderlypatient AT thierrybeguemdphd earlysimultaneousbilateraltotalhiparthroplastyforthemanagementofbilateralacetabularfractureinanelderlypatient |