Restoring stability in a neglected acetabular fracture with dual mobility total hip arthroplasty: a case report
Keywords:Acetabular fracture, Acetabular defect, Dual mobility, Femur head autograft, Total hip arthroplasty
Neglected acetabular fractures present with varied degrees of soft tissue and bone loss and distorted anatomy resulting in high hip centres. The basic principles of achieving stability and restoring motion are to augment the acetabular bone loss, prevent protrusio in the long term and use a prosthesis that prevents dislocation. We report a case of a 22 year old neglected acetabular fracture managed successfully with a femoral head autograft, anti protrusio cage and dual mobility total hip arthroplasty.
Veerappa LA, Tripathy SK, Sen RK. Management of neglected acetabular fractures. Eur J Trauma Emerg Surg. 2015;41(4):343-8.
Choplin RH, Henley CN, Edds EM, Capello W, Rankin JL, Buckwalter KA. Total Hip Arthroplasty in Patients with Bone Deficiency of the Acetabulum. RadioGraphics. 2008;28(3):771-86.
Avtar R, Khanna V, Kumar K. Neglected posterior acetabular wall fracture managed with uncemented total hip arthroplasty with posterior wall reconstruction by femoral head autograft: a case report. Int J Res Orthop. 2018;4(3):527-31.
Dilogo IH, Furano J, Tobing L. Neglected acetabular fracture: Fix or replace? J Clin Orthop Trauma. 2017;8:3-10.
Philippot R, Camilleri JP, Boyer B, Adam P, Farizon F. The use of a dual-articulation acetabular cup system to prevent dislocation after primary total hip arthroplasty: analysis of 384 cases at a mean follow-up of 15 years. Int Orthop. 2009;33(4):927-32.
Bouchet R, Mercier N, Saragaglia D. Posterior approach and dislocation rate: A 213 total hip replacements case-control study comparing the dual mobility cup with a conventional 28-mm metal head/polyethylene prosthesis. Orthop Traumatol Surg Res. 2011;97(1):2-7.
Telleria JJM, Gee AO. Classifications In Brief: Paprosky Classification of Acetabular Bone Loss. Clin Orthop Relat Res. 2013;471(11):3725-30.
Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplasty. 1994;9(1):33-44.
Bellabarba C, Berger RA, Bentley CD, Quigley LR, Jacobs JJ, Rosenberg AG, et al. Cementless acetabular reconstruction after acetabular fracture. J Bone Joint Surg Am. 2001;83(6):868-76.
Berry DJ, Halasy M. Uncemented acetabular components for arthritis after acetabular fracture. Clin Orthop Relat Res. 2002;(405):164-7.
Bronsema E, te Stroet MAJ, Zengerink M, van Kampen A, Schreurs BW. Impaction bone grafting and a cemented cup after acetabular fracture. Int Orthop. 2014;38(12):2441-6.
Romness DW, Lewallen DG. Total hip arthroplasty after fracture of the acetabulum. Long-term results. J Bone Joint Surg Br. 1990;72(5):761-4.