Cementless Total Hip Arthroplasty in the Treatment After Acetabular Fractures

Overview

Journal Eur J Orthop Surg Traumatol

Specialty Orthopedics

Date 2017 Aug 3

PMID 28766067

Citations 7

Authors

Wael Salama

Paolo Ditto

Shazly Mousa

Abdelrahman Khalefa

Ahmed Sleem

Laura Ravera

Alessandro Masse

Affiliations

Soon will be listed here.

Abstract

Introduction: The outcomes of total hip arthroplasty (THA) for the treatment of posttraumatic arthritis after acetabular fractures were inferior to those after primary non-traumatic THA.

Methods: This study was performed in academic level I trauma center. From January 2011 to December 2014, a consecutive series of 21 patients (9 females), with average age of 56.7 years (range 29-75 years) who had posttraumatic hip joint arthritis after acetabular fractures, were included in our study. All patients underwent cementless THA. The average duration of follow-up was 26 months (range 24-36 months).

Results: At the latest follow-up, all patients could walk independently, thirteen (62%) patients had excellent Harris hip score, five (24%) had good HHS, and 3 (14%) had fair score. WOMAC scale decreased from 63 (range 42-92) to 4 (range 0-19). Two patients (9.5%) had heterotopic bone formation which did not affect the activity of the patients. There were no signs of loosening of the acetabular cups or around the femoral stem.

Conclusion: Cementless THA is an ideal treatment for posttraumatic hip arthritis with anatomic restoration of the hip center to improve the functional results and decrease the incidence of complications and revision rate.

Citing Articles

The outcome of conversion total hip arthroplasty following acetabular fractures: a systematic review and meta-analysis of comparative studies.

Shaker F, Esmaeili S, Taghva Nakhjiri M, Azarboo A, Shafiei S J Orthop Surg Res. 2024; 19(1):83.

PMID: 38245744 PMC: 10799400. DOI: 10.1186/s13018-024-04561-x.

Long-term follow-up and survival of delayed total hip arthroplasty following acetabular fracture: a matched cohort study of 552 cases from the Norwegian Arthroplasty Register.

Kirkeboe R, Nordsletten L, Madsen J, Dybvik E, Lie S, Hallan G Hip Int. 2023; 34(3):396-401.

PMID: 37990005 PMC: 11071598. DOI: 10.1177/11207000231212884.

Total Hip Arthroplasty in the Setting of Post-Traumatic Arthritis Following Acetabular Fracture: A Systematic Review.

ODriscoll C, Davey M, Hughes A, OByrne J, Leonard M, ODaly B Arthroplast Today. 2023; 19:101078.

PMID: 36691464 PMC: 9860422. DOI: 10.1016/j.artd.2022.101078.

Total hip arthroplasty for posttraumatic osteoarthritis secondary to acetabular fracture: An evidence based on 1,284 patients from 1970 to 2018.

Yuan Q, Wang X, Cai Y, Yang M, Zheng H, Zhao X Front Surg. 2022; 9:953976.

PMID: 36439540 PMC: 9684333. DOI: 10.3389/fsurg.2022.953976.

Combined acetabular and femoral neck fractures with intrapelvic femoral head dislocation: Successful staged management of a rare injury in two cases.

Abo-Elsoud M, El-Gebeily M, El-Desouky I Jt Dis Relat Surg. 2022; 33(1):230-237.

PMID: 35361100 PMC: 9057529. DOI: 10.52312/jdrs.2022.548.

References

Gruen T, McNeice G, Amstutz H . "Modes of failure" of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Relat Res. 1979; (141):17-27. View

Salaffi F, Leardini G, Canesi B, Mannoni A, Fioravanti A, Caporali R . Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee. Osteoarthritis Cartilage. 2003; 11(8):551-60. DOI: 10.1016/s1063-4584(03)00089-x. View

Ranawat A, Zelken J, Helfet D, Buly R . Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplasty. 2008; 24(5):759-67. DOI: 10.1016/j.arth.2008.04.004. View

Lai O, Yang J, Shen B, Zhou Z, Kang P, Pei F . Midterm results of uncemented acetabular reconstruction for posttraumatic arthritis secondary to acetabular fracture. J Arthroplasty. 2011; 26(7):1008-13. DOI: 10.1016/j.arth.2011.02.026. View

Brooker A, Bowerman J, Robinson R, RILEY Jr L . Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973; 55(8):1629-32. View

Russotti G, Harris W . Proximal placement of the acetabular component in total hip arthroplasty. A long-term follow-up study. J Bone Joint Surg Am. 1991; 73(4):587-92. View

Moed B, Smith S . Three-view radiographic assessment of heterotopic ossification after acetabular fracture surgery. J Orthop Trauma. 1996; 10(2):93-8. DOI: 10.1097/00005131-199602000-00004. View

Matta J . Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am. 1996; 78(11):1632-45. View

Romness D, Lewallen D . Total hip arthroplasty after fracture of the acetabulum. Long-term results. J Bone Joint Surg Br. 1990; 72(5):761-4. DOI: 10.1302/0301-620X.72B5.2211750. View

10.

Makridis K, Obakponovwe O, Bobak P, Giannoudis P . Total hip arthroplasty after acetabular fracture: incidence of complications, reoperation rates and functional outcomes: evidence today. J Arthroplasty. 2014; 29(10):1983-90. DOI: 10.1016/j.arth.2014.06.001. View

11.

CARNESALE P, Stewart M, BARNES S . Acetabular disruption and central fracture-dislocation of the hip. A long-term study. J Bone Joint Surg Am. 1975; 57(8):1054-9. View

12.

Ochs B, Marintschev I, Hoyer H, Rolauffs B, Culemann U, Pohlemann T . Changes in the treatment of acetabular fractures over 15 years: Analysis of 1266 cases treated by the German Pelvic Multicentre Study Group (DAO/DGU). Injury. 2010; 41(8):839-51. DOI: 10.1016/j.injury.2010.04.010. View

13.

Lizaur-Utrilla A, Sanz-Reig J, Serna-Berna R . Cementless acetabular reconstruction after acetabular fracture: a prospective, matched-cohort study. J Trauma Acute Care Surg. 2012; 73(1):232-8. DOI: 10.1097/TA.0b013e31824cf39e. View

14.

Flecher X, Sporer S, Paprosky W . Management of severe bone loss in acetabular revision using a trabecular metal shell. J Arthroplasty. 2008; 23(7):949-55. DOI: 10.1016/j.arth.2007.08.019. View

15.

Harris W . Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969; 51(4):737-55. View

16.

Greiss M, Thomas R, Freeman M . Sequelae of arthrodesis of the hip. J R Soc Med. 1980; 73(7):497-500. PMC: 1437680. DOI: 10.1177/014107688007300706. View

17.

Judet R, JUDET J, LETOURNEL E . FRACTURES OF THE ACETABULUM: CLASSIFICATION AND SURGICAL APPROACHES FOR OPEN REDUCTION. PRELIMINARY REPORT. J Bone Joint Surg Am. 1964; 46:1615-46. View

18.

Salama W, Mousa S, Khalefa A, Sleem A, Kenawey M, Ravera L . Simultaneous open reduction and internal fixation and total hip arthroplasty for the treatment of osteoporotic acetabular fractures. Int Orthop. 2016; 41(1):181-189. DOI: 10.1007/s00264-016-3175-6. View

19.

Weber M, Berry D, Harmsen W . Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg Am. 1998; 80(9):1295-305. DOI: 10.2106/00004623-199809000-00008. View

20.

DeLee J, CHARNLEY J . Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976; (121):20-32. View