Total Hip Arthroplasty after Acetabular Fracture: Incidence of Complications, Reoperation Rates and Functional Outcomes: Evidence Today

被引：62
|
作者：
Makridis, Konstantinos G. [1 ]
Obakponovwe, Oghor [1 ]
Bobak, Peter [1 ]
Giannoudis, Peter V. [1 ]
机构：
[1] Univ Leeds, Acad Dept Trauma & Orthopaed, Sch Med, Leeds Gen Infirm, Leeds LS1 3EX, W Yorkshire, England
来源：
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 10期
关键词：
acetabular fractures; total hip replacement; treatment outcome; implant survival; systematic review; REDUCTION INTERNAL-FIXATION; POSTTRAUMATIC ARTHRITIS; REPLACEMENT; RECONSTRUCTION; CLASSIFICATION; DISLOCATION; TERM;
D O I：
10.1016/j.arth.2014.06.001
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
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.
引用
收藏
页码：1983 / 1990
页数：8
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