Acetabular Peri-Prosthetic Fractures—A Narrative Review

Abstract

Acetabular peri-prosthetic fractures are rare but their incidence is rising due to the increased prevalence of total hip arthroplasty, the increasing life expectancy and the growing functional demand of an ageing population, the incidence of primary total hip arthroplasty is increasing. They are either intra-operative or post-operative and have various aetiologies. Several factors such as implant stability, bone loss, remaining bone stock, fracture pattern, timing, age and co-morbidities of the patients must be considered for adequate treatment. To date, the literature on this subject has been sparse and no universally recognized treatment algorithm exists. Their rarity makes them a little-known entity and their surgical management represents a challenge for most orthopaedic surgeons. This review aims to present an update on epidemiology, the diagnostic work up, existing classification systems, surgical approaches and therapeutic options for acetabular peri-prosthetic fractures.

Total Hip Arthroplasty—Current Challenges

“…Finally, this Special Issue includes two articles that report on acetabular peri-prosthetic fractures [ 14 , 15 ]. Literature on this subject is sparse, no universally recognized treatment algorithm exists and surgical management represents a challenge for most orthopedic surgeons.…”

“…Literature on this subject is sparse, no universally recognized treatment algorithm exists and surgical management represents a challenge for most orthopedic surgeons. Beckers et al [ 14 ] present in their narrative review an update on epidemiology, diagnostic work-up, the existing classification systems, surgical approaches and therapeutic options. Their treatment algorithm provides an individualized therapeutic strategy in this rare but challenging complication after THA.…”