Skip to main content

Post-traumatic Arthritis of the Acetabulum

  • Chapter
  • First Online:
Post-Traumatic Arthritis

Abstract

Modern fracture management algorithms have improved anatomic reduction and fixation of acetabular fractures. Despite such treatment modalities, the risk of posttraumatic arthritis after acetabular fractures remains high. Treatment options predominantly involve total hip arthroplasty but can also extend to hip arthrodesis and resection arthroplasty. These surgeries require meticulous planning coupled with realistic patient expectations and can be challenging due to preexisting hardware, malunion/nonunion, infection, compromised soft tissues, and/or patient’s comorbidities. Through this chapter, we will present an algorithm for the diagnosis and surgical management of posttraumatic arthritis of the acetabulum and include case examples to highlight key principles of operative treatment for such challenging injuries.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bellabarba C, et al. Cementless acetabular reconstruction after acetabular fracture. J Bone Joint Surg Am. 2001;83:868–76.

    Article  CAS  Google Scholar 

  2. Bone and Joint Trauma Study Group [GETRAUM]. Indications and technical challenges of total hip arthroplasty in the elderly after acetabular fracture. Orthop Traumatol Surg Res. 2014;100:193–7.

    Google Scholar 

  3. Chokshi FH, Jose J, Clifford PD. Morel-Lavallee lesion. Am J Orthop. 2010;39:252–3.

    PubMed  Google Scholar 

  4. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop. 1976;121:20–32.

    Google Scholar 

  5. Enocson A, Blomfeldt R. Acetabular fractures in the elderly treated with a primary Burch- Schneider reinforcement ring, autologous bone graft and a total hip arthroplasty. A prospective study with a 4-year follow-up. J Orthop Trauma. 2014;28:330–7.

    Article  Google Scholar 

  6. Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br. 2005;87:2–9.

    Article  CAS  Google Scholar 

  7. Huo MH, et al. Total hip replacements done without cement after acetabular fractures: a 4- to 8-year follow-up study. J Arthroplasty. 1999;14:827–31.

    Article  CAS  Google Scholar 

  8. Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg Am. 1964;46:1615–46.

    Article  CAS  Google Scholar 

  9. Kendoff D, et al. Value of 3D fluoroscopic imaging of acetabular fractures comparison to 2D fluoroscopy and CT imaging. Arch Orthop Trauma Surg. 2008;128:599–605.

    Article  CAS  Google Scholar 

  10. Lai O, et al. Midterm results of uncemented acetabular reconstruction for posttraumatic arthritis secondary to acetabular fracture. J Arthroplast. 2011;26(7):1008–13.

    Article  Google Scholar 

  11. Makridis KG, et al. Total hip arthroplasty after acetabular fracture: incidence of complications, reoperation rates and functional outcomes: evidence today. J Arthroplast. 2014;29:1983–90.

    Article  Google Scholar 

  12. Mears DC, Velyvis JH, Chang CP. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop Relat Res. 2003;407:173–86.

    Article  Google Scholar 

  13. Mears CD, Velyvis JH. Primary total hip arthroplasty after acetabular fracture. Instr Course Lect. 2001;50:335–54.

    CAS  PubMed  Google Scholar 

  14. Moed, et al. Computed tomographic assessment of fractures of the posterior wall of the acetabulum after operative treatment. J Bone Joint Surg Am. 2003;85-A:512–22.

    Article  Google Scholar 

  15. Morrison Z, et al. Total hip arthroplasty after acetabular fracture is associated with lower survivorship and more complications. Clin Orthop Relat Res. 2016;474:392–8.

    Article  Google Scholar 

  16. Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty: a 6-year follow-up evaluation. J Arthroplast. 1994;9:33–44.

    Article  CAS  Google Scholar 

  17. Ragnarsson B, Mjöberg B. Arthrosis after surgically treated acetabular fractures. A retrospective study of 60 cases. Acta Orthop Scand. 1992;63:511.

    Article  CAS  Google Scholar 

  18. Ranawat A, et al. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplast. 2009;24(5):759–67.

    Article  Google Scholar 

  19. Romness DW, Lewallen DG. Total hip arthroplasty after fracture of the acetabulum. Long-term results. J Bone Joint Surg Br. 1990;72:761–4.

    Article  CAS  Google Scholar 

  20. Thakkar Chandrashekhar J, Rajshekhar KT, Thakkar SC. Total hip arthroplasty after acetabular fractures. Arthropaedia. 2014;1:105–14.

    Google Scholar 

  21. Weber M, Berry DJ, Harmsen WS. Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg Am. 1998;80:1295–305.

    Article  CAS  Google Scholar 

  22. Yuan BJ, Lewallen DG, Hanssen AD. Porous metal acetabular components have a low rate of mechanical failure in THA after operatively treated acetabular fracture. Clin Orthop Relat Res. 2015;473:536–42.

    Article  Google Scholar 

  23. Zhang L, et al. Total hip arthroplasty for failed treatment of acetabular fractures. J Arthroplast. 2011;26(8):1189–93.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Savyasachi C. Thakkar .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Thakkar, S.C., Hasenboehler, E.A., Thakkar, C.J. (2021). Post-traumatic Arthritis of the Acetabulum. In: Thakkar, S.C., Hasenboehler, E.A. (eds) Post-Traumatic Arthritis. Springer, Cham. https://doi.org/10.1007/978-3-030-50413-7_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-50413-7_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-50412-0

  • Online ISBN: 978-3-030-50413-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics