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The Journal of Bone and Joint Surgery (American) 79:1416-21 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Periprosthetic Fractures of the Acetabulum during and following Total Hip Arthroplasty*{dagger}

JOHN J. CALLAGHAN, M.D.{ddagger}, IOWA CITY, IOWA

An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons

The first 150 words of the full text of this article appear below.


   Introduction
 
The occurrence of fractures around the femoral component of a total hip prosthesis has been well described, and the treatment options have been studied extensively. However, few reports concerning the occurrence and treatment of periprosthetic fractures of the acetabulum during and following total hip arthroplasty are available10,12,14,18. In this paper, I will review the literature concerning periprosthetic fractures of the acetabulum and outline measures to prevent and treat the problem.


   Historical Review
 
In 1972, Miller described ischiopubic fractures following the insertion of a Ring component without cement in five hips and following the insertion of a McKee component with cement in four. The fractures failed to unite with non-operative treatment, and resection arthroplasty was performed in all of the hips. McElfresh and Coventry documented only one periprosthetic acetabular fracture among 5400 total hip arthroplasties performed with cement at the Mayo Clinic. Silvello et al. reported the successful treatment of a periprosthetic . . . [Full Text of this Article]


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