Acetabular fractures: the role of total hip replacement.

R. J. Sierra, T. M. Mabry, S. A. Sems, D. J. Berry

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Total hip replacement (THR) after acetabular fracture presents unique challenges to the orthopaedic surgeon. The majority of patients can be treated with a standard THR, resulting in a very reasonable outcome. Technical challenges however include infection, residual pelvic deformity, acetabular bone loss with ununited fractures, osteonecrosis of bone fragments, retained metalwork, heterotopic ossification, dealing with the sciatic nerve, and the difficulties of obtaining long-term acetabular component fixation. Indications for an acute THR include young patients with both femoral head and acetabular involvement with severe comminution that cannot be reconstructed, and the elderly, with severe bony comminution. The outcomes of THR for established post-traumatic arthritis include excellent pain relief and functional improvements. The use of modern implants and alternative bearing surfaces should improve outcomes further.

Original languageEnglish (US)
Pages (from-to)11-16
Number of pages6
JournalThe bone & joint journal
Volume95 B
Issue number11 Suppl A
StatePublished - Nov 2013

Fingerprint

Hip Replacement Arthroplasties
Ununited Fractures
Pelvic Infection
Heterotopic Ossification
Bone and Bones
Osteonecrosis
Sciatic Nerve
Thigh
Arthritis
Pain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sierra, R. J., Mabry, T. M., Sems, S. A., & Berry, D. J. (2013). Acetabular fractures: the role of total hip replacement. The bone & joint journal, 95 B(11 Suppl A), 11-16.

Acetabular fractures : the role of total hip replacement. / Sierra, R. J.; Mabry, T. M.; Sems, S. A.; Berry, D. J.

In: The bone & joint journal, Vol. 95 B, No. 11 Suppl A, 11.2013, p. 11-16.

Research output: Contribution to journalArticle

Sierra, RJ, Mabry, TM, Sems, SA & Berry, DJ 2013, 'Acetabular fractures: the role of total hip replacement.', The bone & joint journal, vol. 95 B, no. 11 Suppl A, pp. 11-16.
Sierra RJ, Mabry TM, Sems SA, Berry DJ. Acetabular fractures: the role of total hip replacement. The bone & joint journal. 2013 Nov;95 B(11 Suppl A):11-16.
Sierra, R. J. ; Mabry, T. M. ; Sems, S. A. ; Berry, D. J. / Acetabular fractures : the role of total hip replacement. In: The bone & joint journal. 2013 ; Vol. 95 B, No. 11 Suppl A. pp. 11-16.
@article{f1f546feb37f4262a13590b5f36100ab,
title = "Acetabular fractures: the role of total hip replacement.",
abstract = "Total hip replacement (THR) after acetabular fracture presents unique challenges to the orthopaedic surgeon. The majority of patients can be treated with a standard THR, resulting in a very reasonable outcome. Technical challenges however include infection, residual pelvic deformity, acetabular bone loss with ununited fractures, osteonecrosis of bone fragments, retained metalwork, heterotopic ossification, dealing with the sciatic nerve, and the difficulties of obtaining long-term acetabular component fixation. Indications for an acute THR include young patients with both femoral head and acetabular involvement with severe comminution that cannot be reconstructed, and the elderly, with severe bony comminution. The outcomes of THR for established post-traumatic arthritis include excellent pain relief and functional improvements. The use of modern implants and alternative bearing surfaces should improve outcomes further.",
author = "Sierra, {R. J.} and Mabry, {T. M.} and Sems, {S. A.} and Berry, {D. J.}",
year = "2013",
month = "11",
language = "English (US)",
volume = "95 B",
pages = "11--16",
journal = "Bone and Joint Journal",
issn = "2049-4394",
publisher = "British Editorial Society of Bone and Joint Surgery",
number = "11 Suppl A",

}

TY - JOUR

T1 - Acetabular fractures

T2 - the role of total hip replacement.

AU - Sierra, R. J.

AU - Mabry, T. M.

AU - Sems, S. A.

AU - Berry, D. J.

PY - 2013/11

Y1 - 2013/11

N2 - Total hip replacement (THR) after acetabular fracture presents unique challenges to the orthopaedic surgeon. The majority of patients can be treated with a standard THR, resulting in a very reasonable outcome. Technical challenges however include infection, residual pelvic deformity, acetabular bone loss with ununited fractures, osteonecrosis of bone fragments, retained metalwork, heterotopic ossification, dealing with the sciatic nerve, and the difficulties of obtaining long-term acetabular component fixation. Indications for an acute THR include young patients with both femoral head and acetabular involvement with severe comminution that cannot be reconstructed, and the elderly, with severe bony comminution. The outcomes of THR for established post-traumatic arthritis include excellent pain relief and functional improvements. The use of modern implants and alternative bearing surfaces should improve outcomes further.

AB - Total hip replacement (THR) after acetabular fracture presents unique challenges to the orthopaedic surgeon. The majority of patients can be treated with a standard THR, resulting in a very reasonable outcome. Technical challenges however include infection, residual pelvic deformity, acetabular bone loss with ununited fractures, osteonecrosis of bone fragments, retained metalwork, heterotopic ossification, dealing with the sciatic nerve, and the difficulties of obtaining long-term acetabular component fixation. Indications for an acute THR include young patients with both femoral head and acetabular involvement with severe comminution that cannot be reconstructed, and the elderly, with severe bony comminution. The outcomes of THR for established post-traumatic arthritis include excellent pain relief and functional improvements. The use of modern implants and alternative bearing surfaces should improve outcomes further.

UR - http://www.scopus.com/inward/record.url?scp=84892501542&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892501542&partnerID=8YFLogxK

M3 - Article

C2 - 24187344

AN - SCOPUS:84892501542

VL - 95 B

SP - 11

EP - 16

JO - Bone and Joint Journal

JF - Bone and Joint Journal

SN - 2049-4394

IS - 11 Suppl A

ER -