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Acetabular Fixation

     
     

Under Ace tabular fixation the acetabular cup which is versatile, secure, minimally invasive surgery is compatible and proven fixation. The ace tabular cup addresses both the needs of primary and revision surgery which is the best part in it. Option for choosing ceramic, metal or highly crossed linked polyethylene large diameter bearings tailored to the needs of patient, rest with the surgeon.

The ace tabular cup can be converted from a solid to a multi holed option simply by removing the blanking plus, thus allowing for supplementary screw fixation and thus has the advantage.

Ace tabular fixation : it is well known that the acetabular cup is versatile, secure, minimally invasive surgery compatible, proven fixation. The best part is that the acetabular cup addresses both the needs of primary and revision surgery. The surgeon has the option of choosing ceramic, metal or highly crossed linked polyethylene large diameter bearings tailored to the patient's needs.

The acetabular cup has the advantage that it can be converted from a solid to a multi-holed option simply by removing the blanking plugs, thus allowing for supplementary screw fixation.

Acetabulum fractures are generally happens in young adults and as a result of high velocity trauma. These fractures are even associated with and lead to other life threatening injuries. In case displacement of the fracture fragments, it may lead to articular incongruity of the hip joint. Thereby an abnormal pressure distribution on the articular cartilage surfaces, resulting in rapid breakdown of cartilage surface, and ultimately it may causes arthritis of the hip joing.

Acetabulum fractures are known to occur primarily in young adults and as a result of high-velocity trauma. It is a known fact that these fractures are often associated with and lead to other life-threatening injuries.

In case there is displacement of the fracture fragments, it leads to articular incongruity of the hip joint. As a result there is abnormal pressure distribution on the articular cartilage surface, resulting in rapid breakdown of the cartilage surface, which ultimately causes arthritis of the hip joint.

In such technique difficult surgeries are done to make anatomic reduction and stable fixation of the facture. This is being done at such a fix that the femoral head is concentrically reduced under an adequate portion of the weight bearing dome of the acetabulum.

Insuch technique wise difficult surgeries the goal is anatomic reduction and stable fixation of the fracture. This is aimed at such a fix that the femoral head is concentrically reduced under an adequate portion of the weight bearing dome of the acetabulum.

The second cause which requires the acetabulam fixation is called Total Hip Replacements. In this procedure primary problem remain to be oseolysis and loosening, and this despite all the great changes in bearing materials. Prosthesis fixation technique need an alteration in mid way before pre-deciding and undertaking surgery. It has been observed many times that during surgery an alternative to the routine predetermined technique is required.

The second cause requiring the acetabulam fixation is THR. In total hip replacements (THR) the primary problems remain to be Osteolysis and loosening, and this despite all the great changes in bearing materials. , continue to be a problem). Prosthesis fixation technique as pre-decided before undertaking of the surgery may sometimes need an alteration mid-way. It has been seen numerous times that during surgery that an alternative to the routine, predetermined technique is needed.

Recent alterations has made it possible in cement less femoral or cemented ace tabular fixation showing great promises to combat this issue. Promising clinical returns have been produced with this concept of surgeries. Thus patients have shown improvement in dealing with linear wear and osteolysis as a result of acetabular fixation surgery.

To combat this issue, recent alterations made possible in cementless femoral and/or cemented acetabular fixation have shown great promise. Surgeries undertaken with this concept have produced promising clinical returns. As a result of acetabular fixation surgeries, patients have shown improvement in dealing with linear wear and osteolysis.

Indications to this surgery include severe systemic illness, secondary multi organ failure secondary to polytrauma; systemic infections or sepsis,local infection,extreme osteoporosis and lastly severe comminution, preexisting arthorosis.

Contraindications to the surgery include, severe systemic illness or secondary multiorgan failure secondary to polytrauma; systemic infections or sepsis, local infection; extreme osteoporosis and lastly severe comminution; preexisting arthrosis.

Depending upon the nature of the infury or due to any other osteo related THR, the fixation can be of two types. Kirschner wires and sometimes cerclage wires are used for provisional fixation. But in definitive fixation, screws, plates, spring plates, spring hook plates ,cerclage wires are used.

The fixation can be of two types, depending upon the nature of the injury or due to any other osteo related THR.

In provisional fixation, usually Kirschner wires (K-wires) and, sometimes, cerclage wires are used.

In definitive fixation, screws, plates, spring plates, spring hook plates, cerclage wires are used.

Cementless acetabular fixation is now known more than a solution for osteolysis and making it a treatment of choice. This is defined due to its easy insertion and predictability. Slight alteration is required on surgery table looking to the need of bone for different means of fixation than the planned preoperatively. Cementless aceabular fixation results may determine if polyethylene wear, obteolysis and survival are different to correlate the results with present day in regard to 2 practices hybrid vs reverse hybrid THR.

Cementless acetabular fixation has now grown more than a solution for osteolysis and loosening to a treatment of choice. This can be attributed to its ease of insertion and predictability. Though even this technique application may require slight alteration at the actual surgery table and there have been when the bone presents a need for a different means of fixation than that planned preoperatively.

The purpose of the present study was to compare 2 practices-hybrid vs reverse hybrid THR-and then correlate these results with our present-day cementless acetabular fixation results to determine if polyethylene wear, osteolysis, and survival are different.

In certain cases of acetabular fractures to remove intra-articular loose fragments, arthroscopy is known to be used . The deterring factor being potentially fatal complication such as intra-abdominal compartment syndrome may exist.

Arthroscopy has been known to be used in certain cases of acetabular fractures to remove intra-articular loose fragments. The only deterring factor being potentially fatal complication such as intra-abdominal compartment syndrome.

The primary aim of the postoperative management is to:

  • Maximize the functional status of the patient.

  • Facilitate early return to function.

  • Detect complications quickly and manage them appropriately.

The main objective of the postoperative management is given as under:

  • To maximize the functions of patient.

  • Enable patient to return to normal function.

  • To get to know about the complications quickly and heel them properly.

The post operative management may include the following measures:

  • Balance between fluid and electroyte.

  • Relief from pain.

  • Antibiotics.

  • Prophylaxis management and nutrition details.

  • Immobilizaion regime is advised to the patient.

  • In due course patient should begin with upper limb strengthening exercises to make crutch walking easier during rehabilitation.

It is also felt that positive association between the accuracy of reduction and a better long term result.

Postoperative management includes the following general measures, like fluid and electrolyte balance, Pain relief, Antibiotics, Prophylaxis management and Nutrition detail. Also immobilization regime is advised to the patient. Later the patient should also begin with upper limb strengthening exercises to make crutch walking easier during rehabilitation.

Studies have confirmed the positive association between the accuracy of reduction and a better long-term result.

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