Total Hip Arthroplasty for Posttraumatic Arthritis after Acetabular Fracture

Is Resurfacing Arthroplasty Appropriate for Posttraumatic Osteoarthritis?

“…Similar to our study, they found no difference between the reported postoperative Harris hip scores of the two groups, but there was an increased ROM in the group that underwent resurfacing as opposed to standard THA. Additionally, our reported survivorship of resurfacings is comparable to, and better than, some of the reported survivorship rates of conventional THA in this population, which range from 78% to 97% (Table 2) [3,7,12,15].…”

“…In patients with posttraumatic arthritis, several problems present challenges for surgeons, including trauma-related deformity, bone loss, and retained hardware. Survivorship for THA ranges from 78% to 97% [3,7,12,15] (Table 2). One of the major advantages to using a resurfacing arthroplasty is the ability to implant the prosthesis without removal of plates, screws, or other hardware that are required in a standard THA.…”

Quadrilateral plate fractures of the acetabulum: An update

“…15,16,63,81,84,[87][88][89][90] The results of THA for all types of acetabular fractures have been historically inferior to those performed for primary osteoarthritis due to higher rates of aseptic loosening. 14,86,87,90,91 This has been attributed to residual acetabular deformity and bony deficiency, which often require bone grafting and can make anatomic restoration of the hip centre difficult; younger age and weight over 80 kg. 63,[86][87][88][89][90][91][92] Using cemented acetabular cups Romness and Lewallen 86 reported radiographic loosening in 52.9%, which was symptomatic in 27.5% and progressed to revision in 13.7% at 7.5 years.…”

“…14,86,87,90,91 This has been attributed to residual acetabular deformity and bony deficiency, which often require bone grafting and can make anatomic restoration of the hip centre difficult; younger age and weight over 80 kg. 63,[86][87][88][89][90][91][92] Using cemented acetabular cups Romness and Lewallen 86 reported radiographic loosening in 52.9%, which was symptomatic in 27.5% and progressed to revision in 13.7% at 7.5 years. Use of uncemented acetabular components has provided improved results with lower rates of loosening and satisfactory outcomes with midterm survival rates of 97%.…”

“…Use of uncemented acetabular components has provided improved results with lower rates of loosening and satisfactory outcomes with midterm survival rates of 97%. [91][92][93] …”