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Orthopaedic Trauma Journal Scan

Details
By Morison Z, Moojen DJ, Nauth A, Hall J, McKee MD, Waddell JP, Schemitsch EH
Morison Z, Moojen DJ, Nauth A, Hall J, McKee MD, Waddell JP, Schemitsch EH
Trauma
07 September 2015

Total Hip Arthroplasty After Acetabular Fracture Is Associated With Lower Survivorship and More Complications.

BACKGROUND:

Despite modern fracture management techniques allowing for near anatomic reduction of acetabular fractures, there continues to be a risk of posttraumatic arthritis and need for total hip arthroplasty (THA). Few well-controlled studies have compared THA after acetabular fractures with THAs performed for other indications in terms of survivorship or complications, and none, to our knowledge, present 10-year survivorship data in this setting.

QUESTIONS/PURPOSES:

(1) How does the 10-year survival of THA compare between those patients who underwent THA after an acetabular fracture and those who underwent THA for primary arthritis or avascular necrosis (AVN)? (2) Is there an increased risk of serious complications like infection, dislocation, and aseptic loosening as well as heterotopic ossification associated with a THA performed after a previous acetabular fracture?

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Last Updated: 07 September 2015
Previous article: Devastating Impact of Fracture Nonunions: The Need for Timely Identification and Intervention for High-Risk Patients: Commentary on an article by Patrick C. Schottel, MD, et al.: "Time Trade-Off as a Measure of Health-Related Quality of Life: Long Bone No Prev Next article: CORR Insights(®): Cemented Bipolar Hemiarthroplasty Provides Definitive Treatment for Femoral Neck Fractures at 20 Years and Beyond. Next
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