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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Updated: Jul 17, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

Revision Rates for Acute Versus Delayed Total Hip Arthroplasty After Acetabular Fracture.

Alex J Demers¹, Jacob L Henrichsen¹, Taylor J Den Hartog¹

¹Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

The Iowa Orthopaedic Journal

|July 3, 2025

Summary

Timing of total hip arthroplasty (THA) for acetabular fractures does not significantly impact revision rates. Acute THA showed a 6.0% revision rate, while delayed THA had a 13.0% rate, with different primary revision indications.

Keywords:

acetabular fracture post-traumatic osteoarthritis prosthetic joint infection revision arthroplasty total hip arthroplasty

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Published on: November 8, 2024

Area of Science:

Orthopedic Surgery
Trauma Management
Arthroplasty Research

Background:

Total hip arthroplasty (THA) aids functional recovery after acetabular fractures.
Optimal timing for THA in acetabular fractures is debated, influencing complication and revision rates.
This study investigates acute versus delayed (>30 days) THA timing for acetabular fractures.

Purpose of the Study:

To determine if the timing of total hip arthroplasty (THA) for acetabular fractures affects revision rates and indications.
To compare outcomes between acute (<30 days) and delayed (>30 days) THA for acetabular fracture management.

Main Methods:

Retrospective review of 165 patients undergoing primary THA for acetabular fracture (1997-2020).
Patients stratified into acute versus delayed THA groups.
Analysis of revision arthroplasty rates and indications, with statistical analysis (α ≤ 0.05).

Main Results:

Overall revision rate was 10.9% (18/165).
Delayed THA had a non-significantly higher revision rate (13.0%) compared to acute THA (6.0%).
Prosthetic joint infection (PJI) was the main revision cause for delayed THA; instability for acute THA. Acute THA patients presented with higher fracture dislocation rates and were older.

Conclusions:

The timing of THA for acetabular fractures shows an equivocal impact on revision rates.
No significant difference in revision rates between acute and delayed THA was observed.
Evidence Level: III.