Total hip arthroplasty for acute acetabular fractures through the replace-in-situ philosophy : clinical outcomes.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: S. A. Callary held a Research Fellowship from The Hospital Research Foundation Group during the conduct of this study. S. A. Callary also reports institutional salary support from Corrin, Synergia, and University of Adelaide – Building Leaders, unrelated to this study, and is Secretary of the Australia New Zealand Orthopaedic Research Society and a board member of Int RSA Society. B. Ramasamy reports institutional salary support from Synergia and University of Adelaide – Building Leaders, unrelated to this study. L. B. Solomon reports grants from the NHMRC, AOA, MRFF, and payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from AO Recon, Zimmer Biomet, unrelated to this study. 20. Expert Rev Med Devices. 2015 May;12(3):287-95. doi: 10.1586/17434440.2015.1009828. Epub 2015 Feb 5. Total hip arthroplasty for acute acetabular fractures: a review of the literature. Jauregui JJ(1), Clayton A, Kapadia BH, Cherian JJ, Issa K, Mont MA. Author information: (1)Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA. There have been many advances in the treatment of acetabular fractures; however, the role of total hip arthroplasty (THA) as part of acute fracture management is not well-defined. The indications to acutely manage an acetabular fracture with THA include patients who were older than 65 years of age, who had extensive intra-articular comminution, impaction of the acetabular dome, a displaced-impacted femoral neck fracture, presented with severe osteopenia or osteoporosis, or preexisting osteoarthritis. Implant survivorship and clinical outcomes were favorable with low complications when managing an acetabular fracture with THA. THA may be an effective option for treating acetabular fractures in appropriately selected patients. DOI: 10.1586/17434440.2015.1009828