Volume 10, Issue 3 (In-Press 2023)
JROS 2023, 10(3): 0-0 |
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Aminian A, Bahaeddini M, Komijani M. Total Hip Arthroplasty Outcomes for Osteoarthritis Secondary to Acetabular Fracture. JROS 2023; 10 (3)
URL: http://jros.iums.ac.ir/article-1-2239-en.html
URL: http://jros.iums.ac.ir/article-1-2239-en.html
1- Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Abstract: (62 Views)
Background: Acetabular fractures are common traumatic injuries globally, posing challenges due to their complex nature and difficulties in achieving precise anatomical reduction. Total hip arthroplasty (THA) is a valuable treatment for posttraumatic osteoarthritis secondary to these fractures, but outcomes can vary based on initial fracture management, with optimal strategies remaining debatable.
Objective: This study evaluates THA outcomes in patients with prior acetabular fractures managed with open reduction and internal fixation (ORIF).
Methods: We conducted a retrospective review of patients who underwent THA for posttraumatic osteoarthritis following acetabular fractures managed with ORIF. Inclusion criteria comprised osteoarthritis graded ≥III by the Kellgren-Lawrence classification and a minimum two-year follow-up. Clinical outcomes were assessed using the Harris Hip Score (HHS).
Results: Sixty-eight patients who underwent THA after ORIF for acetabular fractures were included (mean age 52.5 ± 13.8 years). Preoperative HHS improved significantly from 41.4 ± 9.9 to 83.1 ± 10.4 at final follow-up (P < 0.001). Postoperative complications occurred in 54.4%, with 11.8% requiring revision THA.
Conclusion: THA for posttraumatic osteoarthritis following acetabular fractures, particularly in patients managed with ORIF, shows significant clinical improvement but carries a high complication rate. Effective patient selection and management strategies are crucial to optimize outcomes and minimize complications in this challenging patient population. Prospective studies with matched controls are needed to further understand the impact of initial treatment on THA outcomes for acetabular fracture-related osteoarthritis.
Objective: This study evaluates THA outcomes in patients with prior acetabular fractures managed with open reduction and internal fixation (ORIF).
Methods: We conducted a retrospective review of patients who underwent THA for posttraumatic osteoarthritis following acetabular fractures managed with ORIF. Inclusion criteria comprised osteoarthritis graded ≥III by the Kellgren-Lawrence classification and a minimum two-year follow-up. Clinical outcomes were assessed using the Harris Hip Score (HHS).
Results: Sixty-eight patients who underwent THA after ORIF for acetabular fractures were included (mean age 52.5 ± 13.8 years). Preoperative HHS improved significantly from 41.4 ± 9.9 to 83.1 ± 10.4 at final follow-up (P < 0.001). Postoperative complications occurred in 54.4%, with 11.8% requiring revision THA.
Conclusion: THA for posttraumatic osteoarthritis following acetabular fractures, particularly in patients managed with ORIF, shows significant clinical improvement but carries a high complication rate. Effective patient selection and management strategies are crucial to optimize outcomes and minimize complications in this challenging patient population. Prospective studies with matched controls are needed to further understand the impact of initial treatment on THA outcomes for acetabular fracture-related osteoarthritis.
Type of Study: Research Article |
Subject:
Hip surgery
Received: 2024/04/23 | Accepted: 2024/05/6 | Published: 2023/08/7
Received: 2024/04/23 | Accepted: 2024/05/6 | Published: 2023/08/7
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