Simultaneous Total Hip Arthroplasty for Delayed Management of Bilateral Acetabular Fractures due to Alcohol-Withdrawal Seizures

Bilateral acetabular fractures after seizure activity are rare, as most of these injuries are associated with high-energy trauma. It is hypothesized that rapid forceful contracture of hip musculature during a seizure can lead to the femoral head fracturing the medial wall and driving in proximal and...

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Bibliographic Details
Published inArthroplasty today Vol. 18; pp. 7 - 10
Main Authors Pinci, Marcantonio V., Torres-Lugo, Norberto J., Acosta-Julbe, José, Deliz-Jimenez, David, Otero-López, Antonio, Criado, Alberto
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2022
Elsevier
Subjects
acetabular fractures
alcohol withdrawal
Case Report
delayed management
seizures
total hip arthroplasty
total hip arthroplasty
seizures
acetabular fractures
alcohol withdrawal
delayed management
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Summary:Bilateral acetabular fractures after seizure activity are rare, as most of these injuries are associated with high-energy trauma. It is hypothesized that rapid forceful contracture of hip musculature during a seizure can lead to the femoral head fracturing the medial wall and driving in proximal and medial directions. Absence of standardized surgical treatment algorithms and literature-reported outcomes makes this fracture pattern challenging to orthopedic surgeons. To the best of our knowledge, no published data describe delayed simultaneous total hip arthroplasty for treating seizure-induced bilateral acetabular fractures with protrusio. We present a patient that sustained bilateral acetabular fractures after an alcohol-withdrawal seizure. The patient underwent delayed simultaneous total hip arthroplasty 3 months later with excellent functional outcomes at the 6-month follow-up.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2022.08.013