Novel fixation method of a periprosthetic fracture of the acetabulum using burr holes through the retained cup for locking screw fixation James A. Browne,

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Presentation transcript:

Novel fixation method of a periprosthetic fracture of the acetabulum using burr holes through the retained cup for locking screw fixation James A. Browne, MD, David B. Weiss, MD Arthroplasty Today Volume 1, Issue 1, Pages 4-6 (March 2015) DOI: 10.1016/j.artd.2014.12.005 Copyright © 2015 Terms and Conditions

Figure 1 Initial iliac oblique radiograph (a) upon patient arrival demonstrating the comminuted periprosthetic acetabular fracture. The large attached posterior column fragment (open arrow) with associated screws remains well fixed to the displaced cup. Fracture through the anterior column (closed arrow) is also seen. A selected cut from the preoperative CT scan (b) demonstrates the portion of the posterior column that remained well-fixed to the displaced acetabular component. Arthroplasty Today 2015 1, 4-6DOI: (10.1016/j.artd.2014.12.005) Copyright © 2015 Terms and Conditions

Figure 2 Intraoperative radiograph demonstrating fracture reduction and supplemental screw fixation through burr holes in the retained acetabular shell. Arthroplasty Today 2015 1, 4-6DOI: (10.1016/j.artd.2014.12.005) Copyright © 2015 Terms and Conditions

Figure 3 AP pelvis radiograph (a) and iliac oblique view (b) at one year postoperatively demonstrating a healed fracture. Arthroplasty Today 2015 1, 4-6DOI: (10.1016/j.artd.2014.12.005) Copyright © 2015 Terms and Conditions