Acetabular fracture: Long-term follow-up and factors associated with secondary implantation of total hip arthroplasty

Dunet, B.; Tournier, C.; Billaud, Anselme; Lavoinne, N.; Fabre, Thierry; Durandeau, A.

doi:10.1016/j.otsr.2012.12.018

Cited by 53 publications

(38 citation statements)

References 59 publications

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“…As various previous studies had revealed, the congruency of the fracture site correlated directly with the functional outcome of displaced acetabular fractures 9,10,11 . Open reduction remains the best method to achieve good anatomical reduction, as borne out in our study.…”

Section: Discussionmentioning

confidence: 74%

Outcome of Surgical Treatment for Displaced Acetabular Fractures

Anizar-Faizi

Hisam

et al. 2014

MOJ

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The aim of this study was to assess the outcome of surgical treatment in displaced acetabular fractures in our local facilities. Previous studies reveal good outcome via open reduction method with achievement of congruent joint. We note that studies in this respect have not been conducted in our region. We retrospectively analyzed thirty patients with acetabular fractures who underwent open reduction and internal fixation. The data collection was performed over a 4-year period, from 2008 to 2011. The results showed 20 out of 30 patients (66.7%) had excellent/good results (Harris Hip Score equal or more than 80). Post operative complications were deep infection (6.7%), iatrogenic sciatic nerve injury (10.0%), avascular necrosis (16.7%), heterotopic ossificans (3.3%), degenerative changes in hip joint (43.3%) and loss of reduction (3.3%). In conclusion, surgical treatment of displaced acetabular fractures produces good functional outcome despite the complications.

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Section: Discussionmentioning

confidence: 74%

Outcome of Surgical Treatment for Displaced Acetabular Fractures

Anizar-Faizi

Hisam

et al. 2014

MOJ

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“…However, in the literature, a 3.5%-21 % rate of conversions to THA 55,57,58,152,153 is reported. In our series, we showed a conversion rate of 6% after 10 years of FU.…”

Section: Secondary Total Hip Replacementmentioning

confidence: 96%

“…In our series, we showed a conversion rate of 6% after 10 years of FU. For operatively treated fractures the rate of secondary THA is higher, with reported rates between 8 % and 53% 41,42,57,73,119,136,154 . Our cohort of operatively treated fractures had a conversion rate to THA of 14% after an average FU of 11 years.…”

Section: Secondary Total Hip Replacementmentioning

confidence: 99%

Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?

Clarke-Jenssen

Øvre

Røise

et al. 2015

Arch Orthop Trauma Surg

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“…Although some studies have evaluated patients undergoing THA after acetabular fracture at long-term followup [5,14], and others have compared THAs performed after acetabular fractures with THAs performed for other indications [11], few have reported 10-year survivorship data in a well-controlled study. The aim of this retrospective matched cohort study is to investigate the long-term survival and clinical and radiographic results in patients who have undergone THA after an acetabular fracture as compared with patients who underwent THA for primary OA or avascular necrosis (AVN).…”

Section: Introductionmentioning

confidence: 99%

Total Hip Arthroplasty After Acetabular Fracture Is Associated With Lower Survivorship and More Complications

Morison

Moojen

Nauth

et al. 2016

Clinical Orthopaedics &Amp; Related Research

111

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Background Despite modern fracture management techniques allowing for near anatomic reduction of acetabular fractures, there continues to be a risk of posttraumatic arthritis and need for total hip arthroplasty (THA). Few well-controlled studies have compared THA after acetabular fractures with THAs performed for other indications in terms of survivorship or complications, and none, to our knowledge, present 10-year survivorship data in this setting. Questions/purposes (1) How does the 10-year survival of THA compare between those patients who underwent THA after an acetabular fracture and those who underwent THA for primary arthritis or avascular necrosis (AVN)? (2) Is there an increased risk of serious complications like infection, dislocation, and aseptic loosening as well as heterotopic ossification associated with a THA performed after a previous acetabular fracture? Methods This retrospective case-control study compared findings of patients who underwent THA after acetabular fracture versus a matched cohort of patients who had received a primary THA for primary osteoarthritis or AVN. Between 1987 and 2011, we performed 95 THAs after acetabular fracture; of those, 74 (78%) met inclusion criteria and had documented followup beyond 2 years in our institutional registry. We selected 74 matched patients based on an algorithm that matched patients based on preoperative diagnosis, date of operation, age, gender, and type of prosthesis. During this time, we performed approximately 8000 THAs that were potentially available for matching based on complete followup beyond 2 years. We compared cases and control subjects using the KaplanMeier survivorship estimator as well as a comparison of the proportions in each group that developed major complications (including infection, dislocation, loosening, and heterotopic ossification) based a retrospective chart review. Results The 10-year survivorship after THA was lower in patients with a previous acetabular fracture than in the matched cohort (70%, 95% confidence interval [CI], 64%-78%, versus 90%, 95% CI, 86-

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Acetabular fracture: Long-term follow-up and factors associated with secondary implantation of total hip arthroplasty

Abstract: 4; retrospective study.

Cited by 53 publications

References 59 publications

Outcome of Surgical Treatment for Displaced Acetabular Fractures

Outcome of Surgical Treatment for Displaced Acetabular Fractures

Acetabular fracture assessment in four different pelvic trauma centers: have the Judet views become superfluous?

Total Hip Arthroplasty After Acetabular Fracture Is Associated With Lower Survivorship and More Complications

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