The Journal of Bone and Joint Surgery 82:1328 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.
Instructional Course Lecture |
Primary Total Hip Arthroplasty After Acetabular Fracture*
Dana C. Mears, M.D., Ph.D. and
John H. Velyvis, M.D.
An Instructional Course Lecture, American Academy of Orthopaedic
Surgeons
*Printed with permission of the American Academy of Orthopaedic
Surgeons. This article, as well as other lectures presented at the
Academy's Annual Meeting, will be available in March 2001 in Instructional
Course Lectures, Volume 50. The complete volume can be
ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5
p.m., Central time).
No benefits in any form have been received or will be received
from a commercial party related directly or indirectly to the subject
of this article. No funds were received in support of this study.
Department of Orthopaedic Surgery, Johns Hopkins Bayview Medical
Center, 4940 Eastern Avenue, Baltimore, Maryland 21224-2780. E-mail address:
dcmo1@gateway.net.
Division of Orthopaedic Surgery, Albany Medical Center, 47 New
Scotland Avenue, Suite A300A, Albany, New York 12208-3479. E-mail address:
jhv1@hotmail.com.
 |
Introduction
|
|---|
After a displaced acetabular fracture, a patient may be predisposed
to the development of symptomatic posttraumatic degenerative arthritis
of the hip joint or avascular necrosis of the femoral head. In selected
patients, a total hip arthroplasty may eventually be necessary irrespective
of the method of initial management1-3.
On the basis of a review of the results described by Letournel and
Judet2 and Matta4 and on the basis of our experience,
we determined that the likelihood that treatment will culminate
in an arthroplasty is related to the initial type of fracture; the
magnitude of the provocative force; the age and weight of the patient;
and, when the initial management of the fracture was open reduction and
internal fixation, the duration of the delay from the injury to
the surgical procedure. When the initial acetabular deformity is
relatively minor and when the acetabulum unites, especially following
nonoperative treatment, a conventional arthroplasty . . . [Full Text of this Article]
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
|
