title: Total hip arthroplasty after acetabular fracture: incidence of complications, reoperation rates and functional outcomes: evidence today.
abstract: The outcome of THA following acetabular fracture was analyzed on 654 patients with a systematic review approach. An uncemented acetabular and femoral component was used in 80.1% and 59.8% of the cases respectively. The median Harris hip score was 88 points. In the early THA group, Kaplan-Meier survivorship analysis with any loosening, osteolysis or revision as the end point revealed that the 10-year cup survival was 81% whereas in the late THA group was 76% (P=0.287). The 10-year survival was 95% for the early stems and 85% for the late ones (P=0.001). Due to their complexity these fractures should be managed in highly specializing units where the expertise of arthroplasty and trauma reconstruction is available.
authors.affiliation: Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing Level A, Leeds, UK.
authors.forename: Konstantinos G
authors.initials: KG
authors.lastname: Makridis
authors.affiliation: Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing Level A, Leeds, UK.
authors.forename: Oghor
authors.initials: O
authors.lastname: Obakponovwe
authors.affiliation: Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing Level A, Leeds, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Bobak
authors.affiliation: Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing Level A, Leeds, UK.
authors.forename: Peter V
authors.initials: PV
authors.lastname: Giannoudis
mesh_terms: D000077:Acetabulum / Q000293:injuries*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D050723:Fractures, Bone / Q000145:classification / Q000150:complications / Q000601:surgery*; D025981:Hip Injuries / Q000150:complications / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D015994:Incidence; D011475:Prosthesis Failure; D020127:Recovery of Function; D012086:Reoperation / Q000706:statistics & numerical data
keywords: acetabular fractures; implant survival; systematic review; total hip replacement; treatment outcome