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Updated: Aug 30, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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THA in patients with neglected acetabular fractures

Ashish Singh1, Kartheek Telagareddy1, Purushotam Kumar1

  • 1Anup Institute of Orthopaedics and Rehabilitation, Patna, 800020 Bihar, India.

SICOT-J
|August 30, 2022
PubMed

Insights

Total hip arthroplasty (THA) for neglected acetabular fractures can yield favorable outcomes with proper surgical planning and reconstruction. This approach improves function and preserves bone stock for potential future revisions.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Arthroplasty

Background:

  • Total hip arthroplasty (THA) outcomes are poorer in neglected acetabular fractures due to bone deficiency.
  • Acetabular reconstruction and bone grafting complicate these procedures.
  • Clinical outcomes of THA for neglected acetabular fractures are understudied.

Purpose of the Study:

  • To evaluate surgical techniques for THA in neglected acetabular fractures.
  • To describe functional and radiological outcomes of different THA approaches.
  • To assess outcomes in a single-surgeon series.

Main Methods:

  • Retrospective study of 51 neglected acetabular fractures in 49 patients.
  • Treatment options included THA alone, open reduction with internal fixation and THA, or acetabular defect reconstruction THA.
  • Focus on surgical technique, functional, and radiological outcomes.

Main Results:

  • Significant improvement in 90% of patients based on Harris Hip score.
  • Encouraging long-term clinical improvement.
  • Radiographic restoration of acetabular bone stock and center of rotation achieved.

Conclusions:

  • Neglected fracture-dislocations with structural support loss can be treated successfully with THA and bone grafting.
  • Bony reconstruction and cementless components ensure long-term survival.
  • Preservation of bone stock facilitates future THA revisions.
Abstract

Keywords:
Impaction graftingNeglected acetabular fractureProtusioTotal hip replacement

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