Total hip replacement in the acute management of acetabular fractures
Giriraj Harshavardhan J.K., Ganesan Ram Ganesan, Jambu Nageswaran, Vijayaraghavan Phagal varthi
Progress in Orthopedic Science. 2015;
Purpose: Purpose of this article is to assess the outcome of total hip replacement in the management of selected Acetabular fractures in specific cases within 3 weeks after injury. Methods: Prospective study of twenty patients who underwent primary total hip arthroplasty for acute Acetabular fractures. The study was done in Sri Ramachandra Medical College during the period Jan 2010 to Jan 2014. The inclusion criteria were acetabulum fractures associated with femoral neck fracture, neglected dislocation of the hip, marked impaction of femoral head or acetabulum and severe comminution of femoral head. The mean age was 61 years (range 50 to 71 years) and mean duration between injury and presentation was 6 days. The mean duration between injury and surgery was 12 days (range 2 to 21 days). Patients were followed up by serial X-rays and Harris Hip Score. Results: In our series of primary total hip replacement for acute acetabular fractures we had 75% excellent/good results, 20% fair resulta and 5% poor results. Mean Harris Hip Score – 81 (Range 68 to 92) Conclusion: Primary total hip replacement is a reasonable method of treatment of selected acetabular fractures in the acute phase in specific cases. Outcomes may not be as good as total hip replacement done for other conditions.