Total hip arthroplasty after fracture of the acetabulum. Long-term results

J Bone Joint Surg Br. 1990 Sep;72(5):761-4. doi: 10.1302/0301-620X.72B5.2211750.

Abstract

We made a retrospective study of 55 primary total hip arthroplasties in 53 patients with a history of previous acetabular fracture. The mean follow-up was 7.5 years and the average age at fracture was 48.7 years. The incidence of radiographic femoral loosening (29.4%), symptomatic loosening (15.7%), and femoral revision (7.8%) were similar to those previously reported at 10 years for routine arthroplasties by Stauffer (1982). On the acetabular side, the incidence of radiographic loosening (52.9%), symptomatic loosening (27.5%), and revision (13.7%) were four to five times higher. We conclude that a history of prior acetabular fracture has a significant adverse impact on the long-term outcome of any subsequent total hip arthroplasty.

MeSH terms

  • Acetabulum / injuries*
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Fractures, Bone / surgery*
  • Hip Joint / diagnostic imaging
  • Hip Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Failure
  • Radiography
  • Recurrence
  • Reoperation
  • Retrospective Studies