SHORT-TERM EFFECTIVENESS OF TOTAL HIP ARTHROPLASTY FOR POST-TRAUMATIC OSTEOARTHRITIS SECONDARY TO ACETABULAR FRACTURE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHANG Junhui , LING Jing , LIU Hua , TAO Kun , ZENG Zhiming , ZHANG Yunfeng , HE Zhiyong , DI Zhenglin , FENG Jianxiang , XU Rongming.

Department of Joint Surgery, Ningbo No.6 Hospital, Ningbo Zhejiang, 315040, P.R.China. Corresponding author: ZHANG Junhui, E-mail: jhzhang933@sohu.com;

Corresponding author：

Keywords：

Total hip arthroplasty; Acetabular fracture; Post-traumatic osteoarthritis

DOI：

10.7507/1002-1892.20130215

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Objective To discuss the short-term effectiveness of total hip arthroplasty (THA) for post-traumatic osteoarthritis secondary to acetabular fracture. Methods Between January 2004 and March 2012, the clinical data was analyzed retrospectively from 12 cases (13 hips) of post-traumatic osteoarthritis secondary to acetabular fracture undergoing THA. Of 12 patients, 6 were male and 6 were female, with an average age of 55.6 years (range, 40-68 years). The locations were the left hip in 5 cases, the right hip in 6 cases, and bilateral hips in 1 case. The interval between acetabular fracture and THA was 65.7 months on average (range, 12-240 months). The preoperative hip Harris score was 48.8 ± 9.5. Results The incisions healed by first intention. No deep vein thrombosis and infection occurred postoperatively. Ten cases were followed up 1-7 years (mean, 4.8 years). The hip Harris score was 86.5 ± 8.6 at last follow-up, showing significant difference when compared with preoperative score (t=10.520, P=0.006). X-ray films showed no acetabular prosthesis instability. Stem subsidence (2 mm) occurred in 1 case, peri-prosthetic osteolysis in 2 cases, and heterotopic ossification in 2 cases (Brooker type I and type II in 1 case, respectively). Conclusion THA has satisfactory short-term effectiveness for post-traumatic osteoarthritis secondary to acetabular fracture. The good effectiveness is based on strict case selection, pathological evaluation, and the proper acetabular reconstruction.

Citation： ZHANG Junhui,LING Jing,LIU Hua,TAO Kun,ZENG Zhiming,ZHANG Yunfeng,HE Zhiyong,DI Zhenglin,FENG Jianxiang,XU Rongming.. SHORT-TERM EFFECTIVENESS OF TOTAL HIP ARTHROPLASTY FOR POST-TRAUMATIC OSTEOARTHRITIS SECONDARY TO ACETABULAR FRACTURE. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(8): 990-993. doi: 10.7507/1002-1892.20130215 Copy

1.	Archdeacon MT, Kazemi N, Guy P, et al. The modified Stoppa approach for acetabular fracture. J Am Acad Orthop Surg, 2011, 19(3): 170-175.
2.	Magill P, McGarry J, Queally JM, et al. Minimum ten-year follow-up of acetabular fracture fixation from the Irish tertiary referral centre. Injury, 2012, 43(4): 500-504.
3.	Bellabarba C, Berger RA, Bentley CD, et al. Cementless acetabular reconstruction after acetabular fracture. J Bone Joint Surg (Am), 2001, 83-A(6): 868-876.
4.	Weber M, Berry DJ, Harmsen WS, et al. Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg (Am), 1998, 80(9): 1295-1305.
5.	Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. J Bone Joint Surg (Am), 1964, 46: 1615-1646.
6.	Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An endresult study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
7.	Tompkins GS, Jacobs JJ, Kull LR, et al. Primary total hip arthroplasty with a porous-coated acetabular component. Seven-to-ten-year results. J Bone Joint Surg (Am), 1997, 79(2): 169-176.
8.	Engh CA, Massin P, Suthers KE. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res, 1990, (257): 107-128.
9.	Maloney WJ, Jasty M, Harris WH, et al. Endosteal erosion in association with stable uncemented femoral components. J Bone Joint Surg (Am), 1990, 72(7): 1025-1034.
10.	Brooker AF, Bowerman JW, Robinson RA, et al. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg (Am), 1973, 55(8): 1629-1632.
11.	Nunn TR, Cheung WY, Rollinson PD. A prospective study of pyogenic sepsis of the hip in childhood. J Bone Joint Surg (Br), 2007, 89(1): 100-106.
12.	Ranawat A, Zelken J, Helfet D, et al. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplasty, 2009, 24(5): 759-767.
13.	Greidanus NV, Masri BA, Garbuz DS, et al. Use of erythrocyte sedimentation rate and C-reactive protein level to diagnose infection before revision total knee arthroplasty. J Bone Joint Surg (Am), 2007, 89(7): 1409-1416.
14.	Sermon A, Broos P, Vanderschot P. Total hip replacement for acetabular fractures result in 121 patients operated between 1983 and 2003. Injury, 2008, 39(8): 914-921.
15.	Huo MH, Solberg BD, Zatorski LE, et al. Total hip replacements done without cement after acetabular fractures in 4- to 8-year follow-up study. J Arthroplasty, 1999, 14(7): 827-831.
16.	Berry DJ, Halasy M. Uncemented acetabular components for arthritis after acetabular fractures. Clin Orthop Rel Res, 2002, (405): 164-167.
17.	Romness DW, Lewallen DG. Total hip arthroplasty after fracture of the acetabulum. Long-term results. J Bone Joint Surg (Br), 1990, 72(5): 761-764.

1. Archdeacon MT, Kazemi N, Guy P, et al. The modified Stoppa approach for acetabular fracture. J Am Acad Orthop Surg, 2011, 19(3): 170-175.
2. Magill P, McGarry J, Queally JM, et al. Minimum ten-year follow-up of acetabular fracture fixation from the Irish tertiary referral centre. Injury, 2012, 43(4): 500-504.
3. Bellabarba C, Berger RA, Bentley CD, et al. Cementless acetabular reconstruction after acetabular fracture. J Bone Joint Surg (Am), 2001, 83-A(6): 868-876.
4. Weber M, Berry DJ, Harmsen WS, et al. Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg (Am), 1998, 80(9): 1295-1305.
5. Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. J Bone Joint Surg (Am), 1964, 46: 1615-1646.
6. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An endresult study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
7. Tompkins GS, Jacobs JJ, Kull LR, et al. Primary total hip arthroplasty with a porous-coated acetabular component. Seven-to-ten-year results. J Bone Joint Surg (Am), 1997, 79(2): 169-176.
8. Engh CA, Massin P, Suthers KE. Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components. Clin Orthop Relat Res, 1990, (257): 107-128.
9. Maloney WJ, Jasty M, Harris WH, et al. Endosteal erosion in association with stable uncemented femoral components. J Bone Joint Surg (Am), 1990, 72(7): 1025-1034.
10. Brooker AF, Bowerman JW, Robinson RA, et al. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg (Am), 1973, 55(8): 1629-1632.
11. Nunn TR, Cheung WY, Rollinson PD. A prospective study of pyogenic sepsis of the hip in childhood. J Bone Joint Surg (Br), 2007, 89(1): 100-106.
12. Ranawat A, Zelken J, Helfet D, et al. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplasty, 2009, 24(5): 759-767.
13. Greidanus NV, Masri BA, Garbuz DS, et al. Use of erythrocyte sedimentation rate and C-reactive protein level to diagnose infection before revision total knee arthroplasty. J Bone Joint Surg (Am), 2007, 89(7): 1409-1416.
14. Sermon A, Broos P, Vanderschot P. Total hip replacement for acetabular fractures result in 121 patients operated between 1983 and 2003. Injury, 2008, 39(8): 914-921.
15. Huo MH, Solberg BD, Zatorski LE, et al. Total hip replacements done without cement after acetabular fractures in 4- to 8-year follow-up study. J Arthroplasty, 1999, 14(7): 827-831.
16. Berry DJ, Halasy M. Uncemented acetabular components for arthritis after acetabular fractures. Clin Orthop Rel Res, 2002, (405): 164-167.
17. Romness DW, Lewallen DG. Total hip arthroplasty after fracture of the acetabulum. Long-term results. J Bone Joint Surg (Br), 1990, 72(5): 761-764.

Chinese Journal of Reparative and Reconstructive Surgery

SHORT-TERM EFFECTIVENESS OF TOTAL HIP ARTHROPLASTY FOR POST-TRAUMATIC OSTEOARTHRITIS SECONDARY TO ACETABULAR FRACTURE

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