title: Early total hip arthroplasty for severe displaced acetabular fractures.
abstract: OBJECTIVE
  To investigate the effect of early total hip arthroplasty for severe displaced acetabular fractures.
  
  
  METHODS
  Total hip arthroplasty was performed on 17 cases of severe fracture of the acetabulum from 1997 to 2003. The mean follow-up was 2.1 years (1-6 years) and the average period from fracture to operation was 8 days (5-21 day). The average age of the patients was 53 years (26-69 years).
  
  
  RESULTS
  At the final follow-up the Harris hip score averaged 82 (69-100) points and 15 cases have got a good outcome. There was one case of heterotopic bone formation. There were no radiographic evidences of late loosening of the prosthesis. One patient had severe central displacement of the cup.
  
  
  CONCLUSIONS
  In patients with severe displaced acetabular fractures, particularly in elderly patients, early total hip arthroplasty is probably an alternative efficient way to achieve a painless and stable hip.
authors.affiliation: Department of Orthopaedics, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China. shuhuayabc@vip.sina.com
authors.forename: Shu-hua
authors.initials: SH
authors.lastname: Yang
authors.forename: Yu-kun
authors.initials: YK
authors.lastname: Zhang
authors.forename: Wei-hua
authors.initials: WH
authors.lastname: Xu
authors.forename: Jin
authors.initials: J
authors.lastname: Li
authors.forename: Guo-hui
authors.initials: GH
authors.lastname: Liu
authors.forename: Cao
authors.initials: C
authors.lastname: Yang
authors.forename: Yong
authors.initials: Y
authors.lastname: Liu
authors.forename: Hong-tao
authors.initials: HT
authors.lastname: Tian
mesh_terms: D000077:Acetabulum / Q000293:injuries* / Q000601:surgery; D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged