Open AccessShould Total Hip Arthroplasty be Performed Acutely in the Treatment of Acetabular Fractures in Elderly or Used as a Salvage Procedure Only?
Author(s) -
Katharine Hamlin,
Gabija Lazaraviciute,
Michalis Koullouros,
Tarak Chouari,
Iain Stevenson,
Steven W. Hamilton
Publication year - 2017
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/ortho.ijortho_138_16
Subject(s) - medicine , acetabular fracture , arthroplasty , surgery , osteoarthritis , prosthesis , systematic review , total hip arthroplasty , acetabulum , medline , alternative medicine , pathology , political science , law
Total hip arthroplasty (THA) is now an increasingly common procedure for people sustaining acetabular fractures. The incidence of acetabular fractures among the elderly population is increasing, and contemporary treatment aims to avoid the risks of prolonged incumbency associated with poor bone stock for fixation or inability to comply with limited weightbearing in this patient group. The concept of acute hip arthroplasty as a treatment for acetabular fracture is, therefore, becoming more topical and relevant. Our systematic review investigates whether THAs for acetabular fractures should be performed acutely, with a short delay, or as a late procedure for posttraumatic osteoarthritis (PTOA) if it develops.