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European Journal of Trauma and Emergency Surgery

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05-07-2021 | Femoral Fracture | Original Article

Total hip arthroplasty for failed acetabular fracture: a double-center comparative study on failed proximal femur fracture

Authors: Jun-Ki Moon, Ho Lee, Pil Whan Yoon, Ki-Chul Park, Jae Suk Chang, Ji Wan Kim

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2022

Abstract

Purpose

This study aimed to compare the clinical and radiological outcomes of patients who underwent total hip arthroplasty (THA) after failed osteosynthesis of acetabular fractures vs. fractures of the proximal femur.

Methods

This is a retrospective comparative study in two centers. A total of 110 patients who underwent THA after osteosynthesis of acetabular or proximal femur fractures were categorized into groups: group 1 (53 patients with acetabular fracture) and group 2 (57 patients with proximal femur fracture). The mean follow-up period was 6.3 (range 2–16.5) years. The Harris hip scores (HHSs), complications, radiological results, and Kaplan–Meier survival curves were evaluated.

Results

The mean preoperative HHSs of 39.4 (group 1) and 41.2 (group 2) were improved to 83.6 and 84.7 at the final follow-up (p < 0.001 and p < 0.001, respectively). There were two cases of aseptic cup loosening, two cases of septic cup loosening, two cases of deep infection, two cases of dislocation, two cases of sciatic nerve palsy, and one case of periprosthetic fracture in group 1, and one case of dislocation and two cases of infection in group 2, which showed a statistical difference in complication rate (p = 0.021). Total cup migration was significantly higher in group 1 (p = 0.015). After a mean follow-up period of 6.3 years, the survival rate was significantly lower in group 1 (69.4% vs. 97.1%, p = 0.015).

Conclusion

THA following osteosynthesis of acetabular fracture showed poorer survival, higher complication rate, and higher migration of the acetabular cup than THA following osteosynthesis of proximal femur fracture.

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Title: Total hip arthroplasty for failed acetabular fracture: a double-center comparative study on failed proximal femur fracture
Authors: Jun-Ki Moon
Ho Lee
Pil Whan Yoon
Ki-Chul Park
Jae Suk Chang
Ji Wan Kim
Publication date: 05-07-2021
Publisher: Springer Berlin Heidelberg
Keywords: Femoral Fracture
Acetabular Fracture
Hip-TEP
Hip-TEP
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-021-01744-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Total hip arthroplasty for failed acetabular fracture: a double-center comparative study on failed proximal femur fracture

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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