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

Overview

Journal Arthroplast Today

Publisher Elsevier

Date 2023 Jan 24

PMID 36691464

Authors

Conor S ODriscoll

Martin S Davey

Andrew J Hughes

John M OByrne

Michael Leonard

Brendan J ODaly

Affiliations

Soon will be listed here.

Abstract

Background: Acetabular fractures are frequently associated with post-traumatic arthritis (PTA), for which total hip arthroplasty (THA) has emerged as the established procedure. The purpose of this systematic review is to report the patient outcomes, complications, and implant survival of delayed THA for patients with PTA following acetabular fracture.

Methods: A systematic review was performed in December 2021 as per Preferred Reporting Items for Systematic Review and Meta-Analysis Guidelines to identify all studies reporting outcomes of delayed THA performed for PTA with a history of acetabular fracture. From an initial screen of 893 studies, 29 studies which met defined inclusion criteria including minimum 12 months of follow-up and minimum 10 THA were included in the final review.

Results: A total of 1220 THA were reported across 29 studies, with 1174 THA completing a minimum of 1-year follow-up at a mean of 86 months. All 29 studies reported upon complications, with a control included in 6 for comparison. Higher complication rates were observed both in patients who had prior open reduction internal fixation and conservative treatment, most notably infection which was observed following 3.6% THA. The total joint revision rate was 9.7%. An improvement was noted in all 25 studies which recorded patient-reported outcomes, with a mean rise in the Harris hip score from 45 to 86 across 18 studies.

Conclusions: THA may reduce reported pain levels and improve functional outcomes in selected patients experiencing PTA following acetabular fractures. There is an increased risk of complications, necessitating careful consideration when planning the operation and open discussion with prospective patients and caregivers.

Citing Articles

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References

Garcia-Rey E, Sirianni R, Garcia-Cimbrelo E, Sedel L . Total hip arthroplasty after acetabular fracture: does initial treatment make any difference to the outcome? A 5- to 23-year follow-up with clinical and radiological analysis. Hip Int. 2019; 30(3):339-346. DOI: 10.1177/1120700019836413. View

Taheriazam A, Saeidinia A . Conversion to total hip arthroplasty in posttraumatic arthritis: short-term clinical outcomes. Orthop Res Rev. 2019; 11:41-46. PMC: 6442317. DOI: 10.2147/ORR.S184590. View

von Roth P, Abdel M, Harmsen W, Berry D . Total hip arthroplasty after operatively treated acetabular fracture: a concise follow-up, at a mean of twenty years, of a previous report. J Bone Joint Surg Am. 2015; 97(4):288-91. DOI: 10.2106/JBJS.N.00871. View

Agarwal S, Eckhard L, Walter W, Peng A, Hatton A, Donnelly B . The Use of Computer Navigation in Total Hip Arthroplasty Is Associated with a Reduced Rate of Revision for Dislocation: A Study of 6,912 Navigated THA Procedures from the Australian Orthopaedic Association National Joint Replacement Registry. J Bone Joint Surg Am. 2021; 103(20):1900-1905. DOI: 10.2106/JBJS.20.00950. View

Scott C, MacDonald D, Moran M, White T, Patton J, Keating J . Cemented total hip arthroplasty following acetabular fracture. Bone Joint J. 2017; 99-B(10):1399-1408. DOI: 10.1302/0301-620X.99B10.BJJ-2016-1261.R2. View

Khoshbin A, Hoit G, Henry P, Paterson J, Huang A, Atrey A . Risk of Total Hip Arthroplasty After Acetabular Fracture Fixation: The Importance of Age. J Arthroplasty. 2021; 36(9):3194-3199.e1. DOI: 10.1016/j.arth.2021.04.025. View

Frietman B, Biert J, Edwards M . Patient-reported outcome measures after surgery for an acetabular fracture. Bone Joint J. 2018; 100-B(5):640-645. DOI: 10.1302/0301-620X.100B5.BJJ-2017-0871.R3. View

Melhem E, Riouallon G, Habboubi K, Gabbas M, Jouffroy P . Epidemiology of pelvic and acetabular fractures in France. Orthop Traumatol Surg Res. 2020; 106(5):831-839. DOI: 10.1016/j.otsr.2019.11.019. View

Dawson P, Dunne L, Raza H, Quinn M, Leonard M . Total hip arthroplasty for the treatment of osteoarthritis secondary to acetabular fractures treated by open reduction and internal fixation. Eur J Orthop Surg Traumatol. 2019; 29(5):1049-1054. DOI: 10.1007/s00590-019-02406-6. View

10.

Verbeek D, van der List J, Tissue C, Helfet D . Predictors for Long-Term Hip Survivorship Following Acetabular Fracture Surgery: Importance of Gap Compared with Step Displacement. J Bone Joint Surg Am. 2018; 100(11):922-929. DOI: 10.2106/JBJS.17.00692. View

11.

Liberati A, Altman D, Tetzlaff J, Mulrow C, Gotzsche P, Ioannidis J . The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009; 339:b2700. PMC: 2714672. DOI: 10.1136/bmj.b2700. View

12.

Busch A, Stockle U, Schreiner A, de Zwaart P, Schaffler A, Ochs B . Total hip arthroplasty following acetabular fracture: a clinical and radiographic outcome analysis of 67 patients. Arch Orthop Trauma Surg. 2019; 140(3):331-341. DOI: 10.1007/s00402-019-03272-x. View

13.

Griffin S, Sims S, Karunakar M, Seymour R, Haines N . Heterotopic ossification rates after acetabular fracture surgery are unchanged without indomethacin prophylaxis. Clin Orthop Relat Res. 2013; 471(9):2776-82. PMC: 3734400. DOI: 10.1007/s11999-013-2871-4. View

14.

Guyatt G, Oxman A, Vist G, Kunz R, Falck-Ytter Y, Alonso-Coello P . GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008; 336(7650):924-6. PMC: 2335261. DOI: 10.1136/bmj.39489.470347.AD. View

15.

Salama W, Ditto P, Mousa S, Khalefa A, Sleem A, Ravera L . Cementless total hip arthroplasty in the treatment after acetabular fractures. Eur J Orthop Surg Traumatol. 2017; 28(1):59-64. DOI: 10.1007/s00590-017-2021-x. View

16.

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

17.

Kassem M, Elsayed M . Total hip replacements following acetabular fractures. 7 to 15 years clinical and radiological results. Acta Orthop Belg. 2021; 87(3):419-426. View

18.

Nicol G, Sanders E, Kim P, Beaule P, Gofton W, Grammatopoulos G . Outcomes of Total Hip Arthroplasty After Acetabular Open Reduction and Internal Fixation in the Elderly-Acute vs Delayed Total Hip Arthroplasty. J Arthroplasty. 2020; 36(2):605-611. DOI: 10.1016/j.arth.2020.08.022. View

19.

Gracia G, Laumonerie P, Tibbo M, Cavaignac E, Chiron P, Reina N . Outcomes of acute versus delayed total hip arthroplasty following acetabular fracture. Eur J Orthop Surg Traumatol. 2021; 33(1):51-60. DOI: 10.1007/s00590-021-03157-z. View

20.

Schnaser E, Scarcella N, Vallier H . Acetabular fractures converted to total hip arthroplasties in the elderly: how does function compare to primary total hip arthroplasty?. J Orthop Trauma. 2014; 28(12):694-9. DOI: 10.1097/BOT.0000000000000145. View