Journal
JOURNAL OF ARTHROPLASTY
Volume 29, Issue 10, Pages 1983-1990Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2014.06.001
Keywords
acetabular fractures; total hip replacement; treatment outcome; implant survival; systematic review
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The outcome of THA following acetabular fracture was analyzed on 654 patients with a systematic review approach. An uncemented acetabular and femoral component was used in 80.1% and 59.8% of the cases respectively. The median Harris hip score was 88 points. In the early THA group, Kaplan-Meier survivorship analysis with any loosening, osteolysis or revision as the end point revealed that the 10-year cup survival was 81% whereas in the late THA group was 76% (P = 0.287). The 10-year survival was 95% for the early stems and 85% for the late ones (P = 0.001). Due to their complexity these fractures should be managed in highly specializing units where the expertise of arthroplasty and trauma reconstruction is available. (c) 2014 Elsevier Inc. All rights reserved.
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