Sequential complex bilateral total hip arthroplasty in neglected acetabular fractures - A case report

Area of Science:

• Orthopedic Surgery
• Trauma Management
• Reconstructive Surgery

Background:

• Acetabular fractures can lead to severe complications like femoral head damage and post-traumatic osteoarthritis (PTOA).
• Managing neglected bilateral acetabular fractures with PTOA presents significant challenges.
• Total hip arthroplasty (THA) is a potential solution for pain and functional deficits in PTOA.

Observation:

• A 70-year-old male with neglected bilateral acetabular fracture and associated PTOA and protrusion was treated.
• The patient had significant limb-length discrepancy and hip deformities.
• The patient underwent staged bilateral total hip arthroplasty.

Findings:

• The right total hip arthroplasty resulted in remarkable stability and successful recovery.
• One year later, the left total hip arthroplasty was also successfully performed.
• One year post-treatment, the patient reported being pain-free with significant mobility improvements.

Implications:

• Bilateral total hip arthroplasty is a viable and effective treatment option for neglected acetabular fractures with bilateral PTOA.
• This approach can lead to favorable patient outcomes, including pain relief and restored function.
• Successful management of complex hip deformities through staged THA is demonstrated.