Total hip arthroplasty for arthritis following acetabular fractures—evaluation of radiological, functional and quality of life parameters

Abstract

Introduction: Total hip arthroplasty (THA) has been termed as 'operation of the century' as it provides a stable and mobile hip to patients who are debilitated by pathologies affecting the hip. Acetabular fractures pose a challenge for their initial management as well for the management of secondary osteoarthritis which is often the outcome of these fractures. The study attempts to evaluate the short term radiological, functional and quality of life outcomes of THA done in patients with prior acetabular fractures and to find a correlation between various factors. Materials and methods: 47 patients who provided consent for this retrospective study were clinically and radiologically evaluated at their latest follow up. Ratios of horizontal offset, vertical offset, body lever arm and cup inclination were calculated with respect to the opposite normal hip on a radiograph. Questionnaires were filled up for Harris Hip Score (HHS), Short form -12, Short Musculoskeletal functional assessment (SMFA) and WHO-quality of life (WHO-QoL). Results: HHS and quality of life scores had a tendency to improve over time. A statistically significant difference (p < 0.05) was noted between scores of patients having less than 2 years follow up and more than 4 years follow-up. The HHS, radiological and quality of life parameters were not statistically significantly different when analysed based on acetabular fracture pattern, their primary management and aetiology necessitating the THA. Conclusion:The short term radiological, functional and quality of life parameters are dependent on the accuracy of the THA performed and are not significantly affected by the fracture type, initial management and outcomes of that management. However, longer follow up is necessary to evaluate these parameters even more accurately.

Total hip arthroplasty for posttraumatic osteoarthritis secondary to acetabular fracture: An evidence based on 1,284 patients from 1970 to 2018

“…After full-text articles were assessed, 148 studies were excluded. Eventually, 31 studies (1,284 patients 1 , 7 , 9 , 11 – 38 ); were included, with sample sizes ranging from 18 to 78 subjects. These studies were published between 1998 and 2021, and nearly half (15 studies 7 , 9 , 11 – 23 ); were published in the past 3 years ( Figure 2A ).…”

“…Eventually, 31 studies (1,284 patients 1 , 7 , 9 , 11 – 38 ); were included, with sample sizes ranging from 18 to 78 subjects. These studies were published between 1998 and 2021, and nearly half (15 studies 7 , 9 , 11 – 23 ); were published in the past 3 years ( Figure 2A ). Furthermore, 11 studies were conducted in Europe, 10 in Asia, 8 in North America, 1 in Africa ( Figures 2B,D ), 7 in the United States, 4 in South Korea, 3 in India, and 2 in China ( Figure 2B ).…”

“…THA has been recommended as an effective means of restoring normal hip function and is often used to restore joint function after treatment of AF has failed (6). Studies on THA for PTOA patients following AF have increased in recent years (7)(8)(9). However, these studies have various shortcomings, such as small sample sizes, unreasonable study design, different durations of follow-up, and inconsistent reported results.…”

Comparison of customized 3D-printed prosthesis and screw-rod-cage system reconstruction following resection of periacetabular tumors

“…The evaluation methods drew from several classic assessment methods ( 24 , 25 ). Four parameters were used to evaluate the accuracy of reconstruction: femoral head horizontal offset (FHO) indicated the distance from the rotation center of the femoral head to the central axis of the body (d1 in Figure 4 ).…”

Toward a Design of a Telerehabilitation Program for the Functional Recovery in Post-Hip Arthroplasty Patients

“…These limitations may imply deficits in the proprioceptive system that lead to altered pattern of movements (e.g., gait difficulties and poor postural control). Likewise, these alterations would disturb basic daily activities performance and patients' quality of life [6]. Therefore, balance and proprioception are key factors in the treatment to an integral rehabilitation [7]; since there is a positive association between equilibrium capacities and functional capacities [8].…”