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Related Experiment Video

Updated: Feb 6, 2026

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Native hip dislocation at acetabular fracture predicts poor long-term outcome.

J A Nicholson1, C E H Scott1, J Annan1

  • 1Department of Orthopaedic and Trauma Surgery, Edinburgh Royal Infirmary, United Kingdom.

Injury
|August 14, 2018
PubMed
Summary

Acetabular fractures with hip dislocation lead to worse long-term outcomes and more complications. These injuries have higher rates of revision surgery to total hip arthroplasty (THA) compared to fractures without dislocation.

Keywords:
Acetabular fractureAvascular necrosisNative hip dislocationPost-traumatic osteoarthritisTHA conversion

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Area of Science:

  • Orthopedic surgery
  • Trauma care
  • Hip joint biomechanics

Background:

  • Acetabular fractures are complex injuries.
  • Posterior hip dislocation can occur concurrently with acetabular fractures.
  • Long-term outcomes of these combined injuries are not well-defined.

Purpose of the Study:

  • To compare long-term clinical outcomes and complications.
  • To evaluate acetabular fractures with posterior hip dislocation versus those without.
  • To identify risk factors for adverse outcomes.

Main Methods:

  • Retrospective cohort study of 113 patients with acetabular fracture-dislocations and 367 controls.
  • Data collected on patient characteristics, complications, reoperations, and total hip arthroplasty (THA).
  • Long-term patient-reported outcomes (Oxford Hip Score, SF-12) assessed at a mean of 9.7 years.

Main Results:

  • Patients with dislocations were younger, male, with higher Injury Severity Scores (ISS).
  • Higher rates of sciatic nerve palsy (12% vs 1%) and avascular necrosis (AVN) (11% vs 1%) in the dislocation group.
  • Worse 10-year native hip survival (75.1% vs 90.7%) and lower long-term Oxford Hip Scores in the dislocation group.

Conclusions:

  • Acetabular fractures with associated posterior hip dislocation result in poorer long-term functional outcomes.
  • These injuries are linked to increased complication rates, including AVN and nerve palsy.
  • Higher rates of conversion to THA are observed in patients with fracture-dislocations.