Early total hip arthroplasty for severe displaced acetabular fractures / 中华创伤杂志(英文版)

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the effect of early total hip arthroplasty for severe displaced acetabular fractures.</p><p><b>METHODS</b>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).</p><p><b>RESULTS</b>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.</p><p><b>CONCLUSIONS</b>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.</p>