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Acute total hip arthroplasty in acetabular fractures using modern porous metal cup

PURPOSE: The aim of this study was to report the clinical and radiological outcome of using the modern porous metal cup in patients undergoing acute total hip arthroplasty (THA) for selected subset of acetabular fractures. PATIENT AND METHODS: Eighteen patients with acetabular fracture underwent acu...

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Autores principales: Malhotra, Rajesh, Gautam, Deepak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669984/
https://www.ncbi.nlm.nih.gov/pubmed/31221006
http://dx.doi.org/10.1177/2309499019855438
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author Malhotra, Rajesh
Gautam, Deepak
author_facet Malhotra, Rajesh
Gautam, Deepak
author_sort Malhotra, Rajesh
collection PubMed
description PURPOSE: The aim of this study was to report the clinical and radiological outcome of using the modern porous metal cup in patients undergoing acute total hip arthroplasty (THA) for selected subset of acetabular fractures. PATIENT AND METHODS: Eighteen patients with acetabular fracture underwent acute THA with modern porous metal cup from a single manufacturer. Fifteen males and three females with a mean age of 46.4 years (range 21–57 years) were ambispectively followed up for a minimum period of 48 months. All patients were evaluated clinically with Harris Hip Scores (HHS) and radiographically with serial X-rays. RESULTS: No patient was lost to follow-up. The HHS was excellent in nine patients, good in six patients, fair in two patients, and poor in one patient. All the fractures were united and the cups were well integrated. There was no lucent line seen in any acetabular zones on the X-rays. One patient had infection, which resolved with debridement. There was one dislocation following fall, which was reduced by closed means and remained stable. One of the two patients with heterotopic ossification had restricted movement of hip but not restricting the activities of daily living. No failures of acetabular component were seen in the study. CONCLUSION: The current study showed that the modern porous metal cup provides sufficient primary stability and appear suitable for primary THA in acute acetabular fractures at mid-term follow-up: (i) In selected fractures, acute THA can be extended to young adult patients as well. (ii) Modern porous metal cup may provide sufficient stability with or without additional fixation required.
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spelling pubmed-66699842019-09-16 Acute total hip arthroplasty in acetabular fractures using modern porous metal cup Malhotra, Rajesh Gautam, Deepak J Orthop Surg (Hong Kong) Article PURPOSE: The aim of this study was to report the clinical and radiological outcome of using the modern porous metal cup in patients undergoing acute total hip arthroplasty (THA) for selected subset of acetabular fractures. PATIENT AND METHODS: Eighteen patients with acetabular fracture underwent acute THA with modern porous metal cup from a single manufacturer. Fifteen males and three females with a mean age of 46.4 years (range 21–57 years) were ambispectively followed up for a minimum period of 48 months. All patients were evaluated clinically with Harris Hip Scores (HHS) and radiographically with serial X-rays. RESULTS: No patient was lost to follow-up. The HHS was excellent in nine patients, good in six patients, fair in two patients, and poor in one patient. All the fractures were united and the cups were well integrated. There was no lucent line seen in any acetabular zones on the X-rays. One patient had infection, which resolved with debridement. There was one dislocation following fall, which was reduced by closed means and remained stable. One of the two patients with heterotopic ossification had restricted movement of hip but not restricting the activities of daily living. No failures of acetabular component were seen in the study. CONCLUSION: The current study showed that the modern porous metal cup provides sufficient primary stability and appear suitable for primary THA in acute acetabular fractures at mid-term follow-up: (i) In selected fractures, acute THA can be extended to young adult patients as well. (ii) Modern porous metal cup may provide sufficient stability with or without additional fixation required. SAGE Publications 2019-06-20 /pmc/articles/PMC6669984/ /pubmed/31221006 http://dx.doi.org/10.1177/2309499019855438 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Malhotra, Rajesh
Gautam, Deepak
Acute total hip arthroplasty in acetabular fractures using modern porous metal cup
title Acute total hip arthroplasty in acetabular fractures using modern porous metal cup
title_full Acute total hip arthroplasty in acetabular fractures using modern porous metal cup
title_fullStr Acute total hip arthroplasty in acetabular fractures using modern porous metal cup
title_full_unstemmed Acute total hip arthroplasty in acetabular fractures using modern porous metal cup
title_short Acute total hip arthroplasty in acetabular fractures using modern porous metal cup
title_sort acute total hip arthroplasty in acetabular fractures using modern porous metal cup
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669984/
https://www.ncbi.nlm.nih.gov/pubmed/31221006
http://dx.doi.org/10.1177/2309499019855438
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