After failed acetabular fractures, total hip arthroplasty (THA) is a challenging procedure and considered the gold standard treatment. The complexity of the procedure depends on the fracture pattern and the initial fracture management. This study’s primary aim was to evaluate patient-reported outcome measures (PROMs) for patients who underwent delayed uncemented acetabular THA after acetabular fractures. The secondary aims were to assess the radiological outcome and the incidence of the associated complications in those patients. A total of 40 patients underwent cementless acetabular THA following failed treatment of acetabular fractures. The postoperative clinical and radiological outcomes were evaluated for all the cohort.Aims
Methods
One of the potential complications of polyethylene liner (PL) is its dissociation from the metal shell. This is a rare but catastrophic complication of total hip replacement (THR). was to analyze the retrieved dissociated components (PL and shell) (Depuy Pinnacle, Warsaw, IN, USA) to evaluate the mechanism of failure. All these components were dissociated within four years of implantation.Background
Objective
There has been a trend towards operative management of pelvic injuries. Posterior pelvic integrity is more important for functional recovery. Percutaneous iliosacral screw fixation is being increasingly preferred for posterior pelvic stabilisation. Outcome reporting for this procedure remains inconsistent and un-standardised. Retrospectively, all percutaneous iliosacral screw fixations done at this institute during a 5-year period (2008–2012) were reviewed. 28 patients, who had had at least 12 months follow-up, were contacted and clinical scoring was done by postal correspondence. Radiographs were measured for displacements and leg-length discrepancy. Possible factorial associations and correlations were investigated. Mean Majeed score was 83 (median 87), mean EQ-Visual Analog Score (EQ-VAS) was 75.5 (median 80) and the two scores were correlated with statistical significance. Tile AO type C injuries produced worse outcomes and patients who'd anterior pelvic fixation did better. Our results show high patient-reported outcomes, excellent radiologically measured reductions and unions. The incidence of complications is very low. There is a significant correlation between the EQ-VAS arm of the EQ5D instrument and the Majeed score in this patient population. Incidence of non-pelvic surgical procedures in these patients was significantly associated with worse outcomes. Leg length discrepancies appeared to increase after patients were fully weight bearing.
