title: Posttraumatic arthritis from gunshot injuries to the hip requiring a primary THA.
abstract: Gunshot injuries to the hip can be devastating, leading to posttraumatic arthritis and presenting a surgical challenge at the time of total hip arthroplasty (THA) due to the presence of metallic fragments and damaged soft tissues. However, there are few reports of gunshot-related posttraumatic arthritis. The purpose of this study was to describe the features and report the early outcomes of THA in 4 patients who developed posttraumatic arthritis from gunshot injuries to their hips 2, 10, 18, and 26 years after their initial injury, respectively. All 4 patients underwent successful THA without complications. None of the patients had undergone a revision procedure at a mean 26-month (range, 12-48 months) follow-up. The authors believe that primary THA is a safe and effective procedure to reduce pain and improve function for gunshot-related posttraumatic arthritis in patients in whom nonoperative management failed.
authors.forename: Qais
authors.initials: Q
authors.lastname: Naziri
authors.forename: Kimona
authors.initials: K
authors.lastname: Issa
authors.forename: Amir
authors.initials: A
authors.lastname: Rizkala
authors.forename: Vijay J
authors.initials: VJ
authors.lastname: Rasquinha
authors.forename: Robert
authors.initials: R
authors.lastname: Pivec
authors.forename: Steven F
authors.initials: SF
authors.lastname: Harwin
authors.forename: Michael A
authors.initials: MA
authors.lastname: Mont
mesh_terms: D001168:Arthritis / Q000209:etiology / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip; D025981:Hip Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D012086:Reoperation; D014948:Wounds, Gunshot / Q000150:complications*