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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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of a total hip arthroplasty as reported by Sariyilmaz et al. 64 Other authors recommended a combination of a lateral plate with an anteriorly placed strut as the most stable configuration. 65 Haddad et al reported the results of 40 cases
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Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
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include a wide variety of internal fixation methods, hemiarthroplasty or total hip replacement. The case for arthroplasty was strengthened by the use of bone cement that allows early mobilization of the fractured, elderly and morbid patients. The aims of
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the last years ( 25 , 26 ). However, during the past decades, operative treatment of acetabular fractures has developed and become a standard nowadays. There are three different principles: reduction and osteosynthesis or primary total hip
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Open reduction and internal fixation (ORIF) and total hip arthroplasty (THA) are both suitable for achieving these goals in properly selected patients. To provide greater clarity about outcomes with different treatments for complex acetabular
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total hip arthroplasty (THA). The operative selection is based on fracture pattern, age, functional and mental status and medical comorbidities. 6 The Sernbo score is a four-component score (including age, social situation, mobility, and mental
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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prosthesis, it is recommended to use long and fully cemented stems, to optimize stability. As mentioned above, previous orthopaedic procedures, such as ipsilateral total hip arthroplasty (THA) might increase the risk of a post-operative inter
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hip fractures is the modality and the magnitude of surgery used to address the fracture itself. 18 These patients often undergo total hip replacement (THR) provided they fit the eligibility criteria. 11 , 18 The risk of UGIB following
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surgical view is present, such as in conventional total hip arthroplasty, intra-operative images are performed to confirm correct alignment and orientation of the implant, especially the acetabular cup, and to rule out accompanying fractures of the
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, a bipolar endoprosthesis or total hip arthroplasty are advised. If not, ORIF with surgical hip dislocation is suggested, attempting to preserve the femoral head, especially in younger patients. In Pipkin type IV fractures with non-displaced and small
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NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK
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(Xarelto), apixaban (Eliquis) and edoxaban (Lixiana) and was quite recently introduced in 2013 for prevention of thrombo-embolism after elective total hip or knee replacement. Their indications were extended to treatment of venous thrombo-embolism (VTE) and
