Acetabular fractures: the role of total hip replacement

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

Research output: Contribution to journalReview article

37 Scopus citations

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
DOIs
StatePublished - Nov 1 2013

Keywords

  • Acetabular reconstruction
  • Acute THR
  • Arthroplasty
  • Autograft bone
  • THR
  • acetabular fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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  • 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), 11-16. https://doi.org/10.1302/0301-620X.95B11.32897