$right acetabular fracture$

$right acetabular fracture$

Physical exams for patients who have potentially suffered this injury are minimal, usually differentiating between acetabular or hip fracture. If the hip is unable to be reduced or appears widely displaced, consult with a higher level trauma center for transfer. 'You can imagine that transferring someone with a dislocated hip would be incredibly painful for that patient, and it also delays the time to get the hip reduced, which is associated with a worse outcome - avascular necrosis,' says Dr. If dislocated, providers should perform urgent closed reduction prior to any transfers, as this procedure is crucial to preventing future complications. When patients with suspected acetabular fracture arrive at any hospital, the first order of business is to determine if the hip is reduced or dislocated. 'In some patients with predictably poor outcome, we proceed right to hip replacement at Mayo Clinic,' he says. Orthopedic surgeons who work with acetabular fractures and their patients with elevated BMI have to understand the high risks with surgery and make wise decisions based on the risks, according to Dr. Sems, noting he and colleagues published on this topic in the May 2010 Journal of Orthopaedic Trauma, as did Karunakar and colleagues in the July 2005 issue of The Journal of Bone and Joint Surgery, American Volume. 'There are a lot of theories as to why BMI is associated with infection, but it's been shown in a few different studies in pelvic ring injuries and acetabular fractures that higher BMI is associated with complications,' says Dr. While the infection risk is similar to that of other hip procedures, body mass index (BMI) is a predictor of infection and complications of operative treatment. Surgical treatment of acetabular fracture is complex and can result in complications and poor outcomes. With isolated acetabular fracture, the risk of shock is low, but concomitant injuries must be identified and treated appropriately. It just wears out - the cartilage wears away and you get the situation of a painful degenerative joint.'Īcetabular fractures are commonly associated with multiple other injuries, such as to the abdomen, chest or head. 'If the acetabulum is not well-reduced or maligned - or sometimes even if the surgeon is able to achieve the reduction and the alignment - the cartilage coating the joints has been badly damaged and degenerates, which is arthritis. Sems, M.D., an orthopedic trauma surgeon at Mayo Clinic's campus in Rochester, Minnesota. 'The acetabulum is an articular surface - it articulates with the femoral head,' says Stephen (Andy) A. Another potential complication with acetabular fracture is avascular necrosis, in which the blood supply to the femoral head is sufficiently damaged or stretched from dislocation that the bone subsequently dies and collapses, resulting in hip pain. Post-traumatic arthritis occurs due to damage to the articular surface of either the acetabulum or femoral head. This fracture puts patients at considerable risk of developing post-traumatic arthritis, which may result in the need for hip replacement. Patients' pain levels vary widely and are related to the injury pattern and mechanism of injury. In older patients with osteoporosis, low-energy injuries such as falls from standing height prompt the fracture.In younger patients, high-energy injuries cause the break, such as motor vehicle or bike accidents, or falls from significant height.These fractures occur in two distinct patient populations: Relative to hip fracture, acetabular fracture is uncommon. The acetabulum, commonly thought of as the socket of the ball-and-socket hip joint, may break in one of 10 different pattern classifications discussed in the January 2014 issue of Clinical Orthopaedics and Related Research 'Classifications in Brief'.

$right acetabular fracture$

Right acetabular fracture