Acute total hip replacement for acetabular fractures: A systematic review of the literature

Bellis, Umberto Giovanni De; Legnani, Claudio; Calori, G.M.

doi:10.1016/j.injury.2013.09.018

Cited by 67 publications

(53 citation statements)

References 19 publications

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“…De Bellis reported indications for early total hip arthroplasty on acetabulum fracture of complex fracture according to Letournel and Judet, [19] osteoarthritis in hips, femur head fracture, pathological fracture, bad bone quality, or fractures that cannot be reconstructed. [3,12,18,24] Mears added these criteria to the indications: severe impaction, wide femur head abrasion, acetabular impaction more than 30% of its surface, multipartite acetabular fracture, and more. [8] Relative indications are reported as: delayed case, medical comorbidities, obesity, and senility.…”

Section: Discussionmentioning

confidence: 99%

“…Rate of incidence of osteoarthritis after acetabulum fracture varies between 12% and 67%. [1][2][3][4][5][6] The primary objective in patients diagnosed with displaced acetabular fracture is to prevent post-traumatic osteoarthritis and long-term functional limitation. Articular impaction of the medial wall, [7] marginal im-and 2013 were included in the study.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

TOTAL HIP ARTHROPLASTY FOR ACETABULAR FRACTURES “Early Application”

Salar¹,

Bilgen

Bilgen³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

TOTAL HIP ARTHROPLASTY FOR ACETABULAR FRACTURES “Early Application”

Salar¹,

Bilgen

Bilgen³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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“…In De Bellis et al systematic review (25), outcomes, complications and failure rates for acute THR were analysed in studies meeting their pre-defined criteria, noting that in studies looking at Harris Hip Scores (HHS) outcomes were good (Mears, Tidemark, Herscovici reporting HHS of 89, 85 and 74 respectively) (24,34,35). Heterotopic ossification (HO) was a problem in 6 studies, with a range of HO between 10-40%.…”

Section: Discussionmentioning

confidence: 99%

“…Those considered suitable for acute THR include patients with non-easily reducible fracture within the good general health group, and those suitable for ORIF & acute THR include all patients in the senile group, and some of those in the poor general health group. De Bellis et al conclude that 'physicians' practice and expertise are the most useful tools in clinical practice' (25).…”

Section: Fix and Replace; An Emerging Paradigm For Treating Acetabulamentioning

confidence: 99%

Fix and replace; an emerging paradigm for treating acetabular fractures

Murphy

Carrothers

2016

ccmbm

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SummaryAlthough technically challenging even for the experienced surgeon, simultaneous open reduction and internal fixation (ORIF) of acetabular fracture and total hip replacement (THR) have some potential advantages over the more traditional treatment options in specific patient subgroups; theoretically allowing immediate weight bearing and faster rehabilitation, reducing the cost of inpatient stay, and reducing the risks of early and late local complications associated with standard treatment for this type of injury. We review the evolution of the indications and techniques, outline the surgical challenges, and discuss implant options and outcomes for this treatment paradigm.

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“…Open reduction and internal fixation (ORIF) is typically performed, but the difficulty in reconstruction, poor bone quality, and challenges in patient compliance often result in unfavorable outcomes [13,16,17]. These concerns and the lessthan-satisfactory results of THA to treat posttraumatic arthritis after ORIF of acetabular fractures [5,15,26] have led to increasing interest in the use of THA in the acute phase after the fracture in selected patients [4,5]. The published results of this treatment are difficult to interpret because the number of patients reported is small, the followup is short, and the techniques used for achieving and measuring acetabular component stability are variable [4,5].…”

Section: Introductionmentioning

confidence: 99%

Does Cup-cage Reconstruction With Oversized Cups Provide Initial Stability in THA for Osteoporotic Acetabular Fractures?

Solomon

Studer

Abrahams

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background The incidence of acetabular fractures in osteoporotic patients is increasing. Immediate total hip arthroplasty (THA) has potential advantages, but achieving acetabular component stability is challenging and, at early followup, reported revision rates for loosening are high. Questions/purposes This study measured acetabular component stability and the initial surface contact achieved between the acetabular component and unfractured region of the pelvis after THA using an oversized acetabular component and cup-cage reconstruction. Methods Between November 2011 and November 2013, we treated 40 acute acetabular fractures in patients older than 70 years of age. Of these, 12 (30%) underwent immediate THA using an oversized acetabular component with screws inserted only into the ilium and a cup-cage construct. Postoperatively all patients were mobilized without weightbearing restrictions. Indications for immediate THA after acetabular fractures were displaced articular comminution deemed unreducible. Eleven of the 12 were prospectively studied to evaluate the initial stability of the reconstructions using radiostereometric analysis. One of the patients died of a pulmonary embolism after surgery, and the remaining 10 (median age, 81 years; range, 72-86 years) were studied. Of these, five were analyzed at 1 year and five were analyzed at 2 years. Acetabular component migration was defined as acceptable if less than the limits for primary THA that predict later loosening (1.76 mm of proximal migration and 2.53°of sagittal rotation). The contact surface between the acetabular component and ilium in direct continuity with the sacroiliac joint, and the ischium and pubis in direct continuity with the symphysis pubis, was measured on postoperative CT scans.Results At 1 year the median proximal migration was 0.83 mm (range, 0.09-5.13 mm) and sagittal rotation was 1.3°(range, 0.1°-7.4°).

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Acute total hip replacement for acetabular fractures: A systematic review of the literature

Cited by 67 publications

References 19 publications

TOTAL HIP ARTHROPLASTY FOR ACETABULAR FRACTURES “Early Application”

TOTAL HIP ARTHROPLASTY FOR ACETABULAR FRACTURES “Early Application”

Fix and replace; an emerging paradigm for treating acetabular fractures

Does Cup-cage Reconstruction With Oversized Cups Provide Initial Stability in THA for Osteoporotic Acetabular Fractures?

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