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Acetabular Fracture Around a Birmingham Hip Resurfacing Prosthesis: A Case Report
Noah M Joseph1, Alexander Benedick1, George Ochenjele1
1Department of Orthopaedics, Case Western Reserve University, School of Medicine, Cleveland, Ohio.
Case:
A traumatic displaced transverse periprosthetic acetabular fracture around a well-functioning Birmingham hip resurfacing prosthesis was treated with open reduction and internal fixation. The acetabular component was found to be well-fixed intraoperatively and did not require revision. The patient recovered with excellent clinical and radiographic results at the 1-year follow-up with a Harris Hip Score of 94.
Conclusions:
Internal fixation, rather than revision arthroplasty, offers acceptable outcomes in patients with periprosthetic acetabular fractures about well-fixed hip resurfacing prostheses. Radiographic and intraoperative assessment of stability is critical in guiding treatment.
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