Aims. Post-traumatic periprosthetic
Total hip replacement (THR) after acetabular
fracture presents unique challenges to the orthopaedic surgeon.
The majority of patients can be treated with a standard THR, resulting
in a very reasonable outcome. Technical challenges however include
infection, residual pelvic deformity, acetabular bone loss with
ununited fractures, osteonecrosis of bone fragments, retained metalwork,
heterotopic ossification, dealing with the sciatic nerve, and the
difficulties of obtaining long-term acetabular component fixation.
Indications for an acute THR include young patients with both femoral
head and acetabular involvement with severe comminution that cannot
be reconstructed, and the elderly, with severe bony comminution.
The outcomes of THR for established post-traumatic arthritis include
excellent pain relief and functional improvements. The use of modern
implants and alternative bearing surfaces should improve outcomes
further. Cite this article:
Aims. To describe the epidemiology of
Aims. After failed
Aims.
Aims. The aim of this study was to investigate the association between fracture displacement and survivorship of the native hip joint without conversion to a total hip arthroplasty (THA), and to determine predictors for conversion to THA in patients treated nonoperatively for
Aims. Posterior column plating through the single anterior approach reduces the morbidity in
Aims.
We prospectively analysed the epidemiology of
We performed a systematic review of the literature
pertaining to the functional outcomes of the surgical management
of
Aims. Displaced, comminuted
Aims. Complex displaced osteoporotic
The increasing prevalence of osteoporosis in
an ageing population has contributed to older patients becoming
the fastest-growing group presenting with
Injury to the sciatic nerve is one of the more serious complications of
In the time since Letournel popularised the surgical
treatment of
We have examined the accuracy of reduction and the functional outcomes in elderly patients with surgically treated
This study compared the quality of reduction
and complication rate when using a standard ilioinguinal approach and
the new pararectus approach when treating
Surgical dislocation of the hip in the treatment of
A new anterior intrapelvic approach for the surgical
management of displaced
We report the outcome of 161 of 257 surgically fixed