Midterm Results of Uncemented Acetabular Reconstruction for Posttraumatic Arthritis Secondary to Acetabular Fracture
Section snippets
Materials
Between January 2000 and December 2003, 34 uncemented acetabular reconstructions were performed in 34 patients for posttraumatic arthritis after acetabular fractures. Of the 34 patients, 3 cases were lost to follow-up because of changed contact information; 31 patients underwent complete clinical and radiographic follow-up for an average of 6.3 years (range, 3.1-8.4 years).
There were 22 men and 9 women. The patients' average age was 51 ± 12 years (range, 27-74 years) at the time of
Clinical Results and Complications
The 31 patients have been followed up for an average of 6.3 years; no infection occurred, and no revision was needed. Two patients died, 1 in a traffic accident and 1 because of heart disease; but follow-up data for a minimum of 3.1 years were available for these 2 patients.
In the open-reduction and conservative-treatment groups, the respective averages for duration of surgery, intraoperative blood loss, and amount of blood transfused were 138 ± 29 and 98 ± 16 minutes (P < .001), 726 ± 288 and
Discussion
In posttraumatic arthritis after an acetabular fracture, the relationship between fracture treatments and THA results is still controversial. Study findings by Romness and Lewallen [4], Boardman and Charnley [18], and Catalano and Born [19] led us to the following conclusions: THA results are better in patients whose acetabular fractures were treated by ORIF than those in patients whose fractures were treated conservatively. However, after 5.3 years of follow-up of 30 uncemented THAs in
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The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.02.026.