Midterm Results of Uncemented Acetabular Reconstruction for Posttraumatic Arthritis Secondary to Acetabular Fracture

Abstract At an average of 6.3 years after surgery, we evaluated midterm results of uncemented acetabular reconstruction in 31 hips with posttraumatic arthritis that developed after acetabular fracture. Patients were categorized by previous fracture treatments (open-reduction group and conservative-t...

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Bibliographic Details
Published in:The Journal of arthroplasty 2011-10, Vol.26 (7), p.1008-1013
Main Authors: Lai, Oujie, MD, Yang, Jing, MD, Shen, Bin, MD, Zhou, Zongke, MD, Kang, Pengde, MD, Pei, Fuxing, MD
Format: Article
Language:English
Subjects:
acetabular fracture
Acetabulum - injuries
Acetabulum - surgery
Adult
Aged
Arthritis - etiology
Arthritis - surgery
Arthroplasty, Replacement, Hip
Female
Follow-Up Studies
fracture patterns
fracture treatments
Fractures, Bone - complications
Fractures, Bone - surgery
Hip Prosthesis
Humans
Male
Middle Aged
Orthopedics
posttraumatic arthritis
Prosthesis Failure
uncemented acetabular reconstruction
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Summary:Abstract At an average of 6.3 years after surgery, we evaluated midterm results of uncemented acetabular reconstruction in 31 hips with posttraumatic arthritis that developed after acetabular fracture. Patients were categorized by previous fracture treatments (open-reduction group and conservative-treatment group) and fracture patterns (simple group and complex group). Surgery duration and blood loss were greater in the open-reduction and complex groups than in the conservative-treatment and simple groups ( P < .05). The mean Harris Hip Score increased from 49 before surgery to 89 after surgery. Survival with revision or radiographic acetabular loosening as an end point was 100%. Fracture treatments and patterns were associated with increased surgery duration and increased blood loss. Open reduction and internal fixation of a fracture favor anatomical restoration of the hip's rotational center.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2011.02.026