Pelvic-acetabular surgeries are a specialized type of orthopedic surgery that focuses on the treatment of complex fractures, deformities, and disorders involving the pelvis and acetabulum (socket of the hip joint). These surgeries are performed by highly skilled orthopedic surgeons who have expertise in managing injuries and conditions in this anatomical region.
The pelvis is a ring-like structure that consists of several bones, including the ilium, ischium, pubis, and sacrum. The acetabulum is the concave socket in the pelvis that connects to the femoral head (the ball-shaped part of the thigh bone) to form the hip joint.
Here are some common types of pelvic-acetabular surgeries:
- Fracture fixation: Pelvic and acetabular fractures can occur due to high-energy trauma, such as motor vehicle accidents or falls from a significant height. These fractures can be complex and require surgical intervention for proper alignment and stabilization. Surgeons may use a variety of techniques, such as plates, screws, and wires, to fix the fractured bones and restore the normal anatomy of the pelvis and acetabulum.
- Pelvic ring reconstruction: In cases where the pelvic ring is disrupted or unstable due to fractures or ligamentous injuries, reconstructive surgery may be performed. This involves restoring the integrity and stability of the pelvic ring by using fixation devices, such as plates, screws, or rods, to secure the bones together.
- Acetabular socket reconstruction: When the acetabulum is fractured or severely damaged, it may require surgical reconstruction to restore its shape and function. Surgeons may use various techniques, including bone grafts, screws, and plates, to reconstruct the acetabulum and create a stable socket for the hip joint.
- Hip preservation surgery: In some cases, pelvic-acetabular surgeries are performed to address conditions that affect the hip joint, such as hip dysplasia or femoroacetabular impingement (FAI). These procedures aim to correct anatomical abnormalities or remove excess bone to improve joint function, alleviate pain, and prevent further damage to the hip joint.
Total hip replacement: In cases where the hip joint is severely damaged by arthritis or other conditions, a total hip replacement surgery may be necessary. This involves removing the damaged hip joint surfaces and replacing them with artificial components made of metal, plastic, or ceramic. Total hip replacement is a major surgery that requires precise implantation of the prosthesis to restore proper hip function.
It's important to consult with an experienced orthopedic surgeon who specializes in pelvic-acetabular surgeries to evaluate the specific condition and determine the most appropriate treatment approach.