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<p>Periprosthetic acetabular fractures (PPAF) are a&#xa0;rare but increasingly relevant complication following total hip arthroplasty. The management is complex and requires expertise in fracture treatment and revision arthroplasty. The treatment planning is based on the morphological fracture characteristics according to the column concept (Letournel), the extent of bone defects (fracture-related or pre-existing), the stability of the acetabular component and patient-related factors. This review article presents a practice-related algorithm on how to approach PPAFs. In addition to the preoperative diagnostics, established classification systems, surgical approaches and treatment strategies for various fracture scenarios are also presented.</p>

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Periprothetische Acetabulumfraktur

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月2日

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  • Jose A. Roshardt,
  • Silviya Ivanova,
  • Hannes Kuttner,
  • Christiane Leibold,
  • Simon D. Steppacher,
  • Moritz Tannast,
  • Johannes D. Bastian

摘要

Periprosthetic acetabular fractures (PPAF) are a rare but increasingly relevant complication following total hip arthroplasty. The management is complex and requires expertise in fracture treatment and revision arthroplasty. The treatment planning is based on the morphological fracture characteristics according to the column concept (Letournel), the extent of bone defects (fracture-related or pre-existing), the stability of the acetabular component and patient-related factors. This review article presents a practice-related algorithm on how to approach PPAFs. In addition to the preoperative diagnostics, established classification systems, surgical approaches and treatment strategies for various fracture scenarios are also presented.