Acetabular transverse nonunion treated by a hemispherical press-fit cup and structural autologous bone graft
Case Report
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Abstract
Nonunion of acetabular fractures are uncommon, and their treatment can be a rather demanding procedure. Acute total hip arthroplasty could be a possible treatment choice, especially when there is a femoral head arthritis. We report a case of transverse acetabular fracture nonunion treated by a cementless hemispherical press-fit cup and autologous structural bone graft. At 10 years follow-up, the graft was integrated, the cup was stable, and the patient was completely recovered.
Keywords
Acetabular nonunion Structural bone graft Hip prosthesis Transverse fractureNotes
Conflict of interest statement
The authors declare that they have no conflict of interest related to the publication of this article.
References
- 1.Letournel E (1990) Diagnosis and treatment of nonunions and malunions of acetabular fractures. Orthop Clin North Am 21:769–788PubMedGoogle Scholar
- 2.Pritchett JW, Bortel DT (1991) Total hip replacement after central fracture dislocation of the acetabulum. Orthop Rev 20:607–610PubMedGoogle Scholar
- 3.Boardman KP, Charnley J (1978) Low-friction arthroplasty after fracture-dislocations of the hip. J Bone Joint Surg Br 60-B:495–497PubMedGoogle Scholar
- 4.Coventry MB (1974) The treatment of fracture-dislocation of the hip by total hip arthroplasty. J Bone Joint Surg Am 56:1128–1134PubMedGoogle Scholar
- 5.Harris WH, Crothers O, Oh I (1977) Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg Am 59:752–759PubMedGoogle Scholar
- 6.Malkin C, Tauber C (1985) Total hip arthroplasty and acetabular bone grafting for unreduced fracture-dislocation of the hip. Clin Orthop Relat Res 201:57–59PubMedGoogle Scholar
- 7.Weber M, Berry DJ, Harmsen WS (1998) Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg Am 80:1295–1305PubMedGoogle Scholar
- 8.Berry DJ (1999) Total hip arthroplasty following acetabular fracture. Orthopedics 22:837–839PubMedGoogle Scholar
- 9.D’Aubigne RM, Postel M (1954) Function al results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am 36-A:451–475PubMedGoogle Scholar
- 10.Huo MH, Solberg BD, Zatorski LE et al (1999) Total hip replacements done without cement after acetabular fractures: a 4- to 8-year follow-up study. J Arthroplasty 14:827–831CrossRefPubMedGoogle Scholar
- 11.Matta JM, Ferguson TA (2005) Total hip replacement after acetabular fracture. Orthopedics 28:959–960PubMedGoogle Scholar
- 12.Mears DC, Velyvis JH (2002) Acute total hip arthroplasty for selected displaced acetabular fractures: two to twelve-year results. J Bone Joint Surg Am 84-A:1–9PubMedGoogle Scholar
- 13.Eftekhar NS, Nercessian O (1989) Intrapelvic migration of total hip prostheses. Operative treatment. J Bone Joint Surg Am 71:1480–1486PubMedGoogle Scholar
- 14.Head WC (1984) Prevention of intraoperative vascular complications in revision total hip-replacement arthroplasty. A case report. J Bone Joint Surg Am 66:458–459PubMedGoogle Scholar
- 15.Hirsch SA, Robertson H, Gorniowsky M (1976) Arterial occlusion secondary to methylmethacrylate use. Arch Surg 111:204PubMedGoogle Scholar
- 16.Middleton RG, Reilly DT, Jessop J (1996) Occlusion of the external iliac vein by cement. J Arthroplasty 11:346–347CrossRefPubMedGoogle Scholar
- 17.Romness DW, Lewallen DG (1990) Total hip arthroplasty after fracture of the acetabulum. Long-term results. J Bone Joint Surg Br 72:761–764PubMedGoogle Scholar
- 18.Herberts P, Malchau H (1997) How outcome studies have changed total hip arthroplasty practices in Sweden. Clin Orthop Relat Res 344:44–60CrossRefPubMedGoogle Scholar
- 19.Bellabarba C, Berger RA, Bentley CD et al (2001) Cementless acetabular reconstruction after acetabular fracture. J Bone Joint Surg Am 83-A:868–876PubMedGoogle Scholar
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