Loading...
Please wait, while we are loading the content...
Similar Documents
The outcome of the uncemented acetabular component in delayed total hip arthroplasty following acetabular fractures.
| Content Provider | Europe PMC |
|---|---|
| Author | El-Bakoury, Ahmed Khedr, Waseem Williams, Mark Eid, Yousry Hammad, Abdullah Said |
| Copyright Year | 2021 |
| Abstract | AimsAfter failed acetabular fractures, total hip arthroplasty (THA) is a challenging procedure and considered the gold standard treatment. The complexity of the procedure depends on the fracture pattern and the initial fracture management. This study’s primary aim was to evaluate patient-reported outcome measures (PROMs) for patients who underwent delayed uncemented acetabular THA after acetabular fractures. The secondary aims were to assess the radiological outcome and the incidence of the associated complications in those patients.MethodsA total of 40 patients underwent cementless acetabular THA following failed treatment of acetabular fractures. The postoperative clinical and radiological outcomes were evaluated for all the cohort.ResultsThe median (interquartile range (IQR)) Oxford Hip Score (OHS) improved significantly from 9.5 (7 to 11.5), (95% confidence interval (CI) (8 to 10.6)) to 40 (39 to 44), (95% CI (40 to 43)) postoperatively at the latest follow-up (p < 0.001). It was worth noting that the initial acetabular fracture type (simple vs complex), previous acetabular treatment (ORIF vs conservative), fracture union, and restoration of anatomical centre of rotation (COR) did not affect the final OHS. The reconstructed centre of rotation (COR) was restored in 29 (72.5%) patients. The mean abduction angle in whom acetabular fractures were managed conservatively was statistically significantly higher than the surgically treated patients 42.6° (SD 7.4) vs 38° (SD 5.6)) (p = 0.032). We did not have any case of acetabular or femoral loosening at the time of the last follow-up. We had two patients with successful two-stage revision for infection with overall eight-year survival rate was 95.2% (95% CI 86.6% to 100%) with revision for any reason at a median (IQR) duration of follow-up 50 months (16 to 87) months following THA.ConclusionDelayed cementless acetabular THA in patients with previous failed acetabular fracture treatments produces good clinical outcomes (PROMS) with excellent survivorship, despite the technically demanding nature of the procedure. The initial fracture treatment does not influence the outcome of delayed THA. In selected cases of acetabular fractures (either nondisplaced or with secondary congruency), the initial nonoperative treatment neither resulted in large acetabular defects nor required additional acetabular reconstruction at the time of THA.Cite this article: Bone Jt Open 2021;2(12):1067–1074. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8711662&blobtype=pdf |
| Journal | Bone & Joint Open [Bone Jt Open] |
| Volume Number | 2 |
| PubMed Central reference number | PMC8711662 |
| Issue Number | 12 |
| PubMed reference number | 34905940 |
| e-ISSN | 26331462 |
| DOI | 10.1302/2633-1462.212.bjo-2021-0118.r1 |
| Language | English |
| Publisher | The British Editorial Society of Bone & Joint Surgery |
| Publisher Date | 2021-12-01 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ © 2021 Author(s) et al. |
| Subject Keyword | Acetabular fracture Uncemented PROMs Oxford Hip Score (OHS) Total hip arthroplasty (THA) total hip arthroplasty (THA) acetabular fractures uncemented acetabular components open reduction and internal fixation (ORIF) Infection acetabular defects abduction patient-reported outcome measures (PROMs) acetabular reconstruction |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
