Error message

  • Deprecated function: Return type of DateObject::__wakeup() should either be compatible with DateTime::__wakeup(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in include_once() (line 158 of /var/www/virtual/naphta/html/sites/all/modules/date/date_api/date_api.module).
  • Deprecated function: Return type of DateObject::format($format, $force = false) should either be compatible with DateTime::format(string $format): string, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in include_once() (line 158 of /var/www/virtual/naphta/html/sites/all/modules/date/date_api/date_api.module).
  • Deprecated function: Return type of DateObject::setTimezone($tz, $force = false) should either be compatible with DateTime::setTimezone(DateTimeZone $timezone): DateTime, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in include_once() (line 158 of /var/www/virtual/naphta/html/sites/all/modules/date/date_api/date_api.module).

Periacetabular fracture

Periacetabular fractures are often difficult to treat. They can happen intraoperatively in hip prosthetic replacement during the cup insertion (more often in press-fit cups), excessive acetabular reaming or they can occur after time and in stable cups due to adequate trauma.

For the correct treatment we have to know

  • amount of bone loss?
  • Column defects ? and which:
    • anterior 
    • posterior
    • central (lateral border)
    • pelvic discontinuity (all three columns)
  • previous surgery approach

To guarantee a sufficient stability of the acetabular cup, we need 2 intact or stable columns; mainly the posterior column

Classification of periacetabular (cup) fracture

  1. Paproski
  2. Davidsson

 

Pdf: 

It appears your Web browser is not configured to display PDF files. Download adobe Acrobat or click here to download the PDF file.