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

Abstract

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.

• Authors: Marcantonio V Pinci, Norberto J Torres-Lugo, José Acosta-Julbe, David Deliz-Jimenez, Antonio Otero-López, Alberto Criado
• Journal: Arthroplasty today (Arthroplast Today) Vol. 18 Pg. 7-10 (Dec 2022) ISSN: 2352-3441 [Print] United States
• PMID: 36267393 (Publication Type: Case Reports)
• Copyright: © 2022 The Authors.