Total hip arthroplasty with porous metal cups following acetabular fracture.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 23813176.
- Also identified by DOI 10.5301/hipint.5000037.
- No licence information is recorded for this record.
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Abstract
Total hip arthroplasty (THA) after acetabular fracture presents unique challenges, including acetabular fixation. Twelve patients with a history of acetabular fracture underwent THA with porous metal cups. The average age was 57 years (range 24-88). THA was performed at an average 20 months from initial fracture. Average follow-up was 39 months (range 24-49). Average WOMAC scores improved from 32 to 79; UCLA scores improved from 1.75 to 5.25. There was one case of acetabular loosening in a renal transplant patient with rheumatoid arthritis. No other patients showed progressive radiolucent lines. At average three-year follow-up, porous metal components afforded improved clinical and radiographic outcomes in the majority of patients. Longer follow-up will determine whether porous metal is a durable option in the management of prior acetabular fracture.
Medical subject headings
- Acetabulum
- Arthroplasty, Replacement, Hip
- Fractures, Bone
- Hip Prosthesis
- Osteoarthritis, Hip
Anatomy
- hip
- pelvis