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Total hip arthroplasty for failed treatment of acetabular fractures: a 5-year follow-up study
Liang Zhang1, Yixin Zhou, Yujun Li
1Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China.
Insights
Total hip arthroplasty (THA) is a viable option for acetabular fractures that failed initial treatment. This study shows THA leads to improved hip function and high patient satisfaction with low complication rates.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Acetabular fractures often present complex treatment challenges.
- Failed primary treatments necessitate alternative surgical interventions.
Purpose of the Study:
- To evaluate the efficacy of Total Hip Arthroplasty (THA) in managing acetabular fractures with failed prior treatment.
- To assess functional outcomes, complication rates, and patient satisfaction following THA in this cohort.
Main Methods:
- Retrospective analysis of 53 patients undergoing THA for failed acetabular fracture treatment.
- Follow-up assessment included Harris hip scores and complication monitoring.
Main Results:
- Significant improvement in average Harris hip score from 49.5 pre-surgery to 90.1 post-surgery.
- Low complication rate: 1 dislocation, 3 sciatic nerve injuries, 3 heterotopic ossification cases.
- Only 1 revision surgery required for aseptic loosening.
Conclusions:
- THA is an effective reconstructive option for acetabular fractures with failed treatment.
- The procedure yields encouraging outcomes with high patient satisfaction and manageable complications.
Abstract:
Total hip arthroplasty (THA) remains an available surgical option for failed treatment of acetabular fractures. We retrospectively analyzed 53 patients who underwent THA because of failed treatment of acetabular fractures. The mean duration of follow-up monitoring was 64 months (range, 32-123 months) in 49 patients. The average Harris hip score increased from 49.5 before surgery to 90.1 at the latest follow-up examination. Postoperative complications included 1 dislocation, 3 sciatic nerve injuries, and 3 class III instances of heterotopic ossification. There was only 1 revision due to aseptic loosening of the acetabular and femoral component. Despite the technically demanding nature of the procedure, the results of acetabular reconstruction are encouraging in these patients; complication rates are low, and patient satisfaction level is high.