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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 81(1)

Acetabular fracture non-union with pelvic discontinuity treated with two-stage total hip arthroplasty after intra- and extra-articular plate fixation

https://doi.org/10.18999/nagjms.81.1.113
https://doi.org/10.18999/nagjms.81.1.113
f6a98b73-907d-47ac-b07f-22466721c1e7
名前 / ファイル ライセンス アクション
10_Morita.pdf 10_Morita.pdf (44.2 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-03-15
タイトル
タイトル Acetabular fracture non-union with pelvic discontinuity treated with two-stage total hip arthroplasty after intra- and extra-articular plate fixation
著者 Morita, Daigo

× Morita, Daigo

WEKO 89440

Morita, Daigo

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Seki, Taisuke

× Seki, Taisuke

WEKO 89441

Seki, Taisuke

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Takegami, Yasuhiko

× Takegami, Yasuhiko

WEKO 89442

Takegami, Yasuhiko

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Kasai, Takehiro

× Kasai, Takehiro

WEKO 89443

Kasai, Takehiro

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Higuchi, Yoshitoshi

× Higuchi, Yoshitoshi

WEKO 89444

Higuchi, Yoshitoshi

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Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 89445

Ishiguro, Naoki

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キーワード
主題Scheme Other
主題 acetabular fracture non-union
キーワード
主題Scheme Other
主題 pelvic discontinuity
キーワード
主題Scheme Other
主題 late reconstruction
キーワード
主題Scheme Other
主題 intra-articular side
キーワード
主題Scheme Other
主題 total hip arthroplasty
抄録
内容記述 Surgical intervention for the treatment of acetabular fracture non-union is often challenging. Here, we present a case of acetabular fracture non-union with pelvic discontinuity in a patient who underwent cemented total hip arthroplasty (THA) after intra- and extra-articular plate fixation. The case was a 70-year-old male with left T-shaped acetabular fracture non-union neglected for 5 months after the injury. The anterior and posterior columns were not healed, and the articular surface was displaced toward the medial side with a protrusion of the collapsed femoral head. As the first surgical intervention, we performed intra- and extra-articular plate fixation after femoral head decapitation. We fixed non-union regions from the inferior acetabular margin to the anterior column using a pelvic reconstruction plate bent three-dimensionally at the acetabular curvature on the intra-articular side. Furthermore, we fixed that of the posterior column on the outside of the acetabulum using a bent pelvic reconstruction plate. Union of the anterior and posterior columns was observed at 4 and 6 months after the first surgical intervention. At 7 months, we performed a cemented THA without additional bone grafting. At 1-year follow-up, the patient did not have left coxalgia and could walk without any gait supports. Based on our experience, we propose this surgical protocol as a useful treatment option for cases of acetabular fracture non-union.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.81.1.113
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/811.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 81, 号 1, p. 113-119, 発行日 2019-02
著者版フラグ
値 publisher
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