OUTCOMES OF DELAYED TOTAL HIP ARTHROPLASTY; POST-ACETABULAR FRACTURE FIXATION

Asif Nawaz; Muhammad Aamir; Waleed Salman; Saeed Anwar; Javeria Shah; Faiza Imrad

doi:10.46903/gjms/24.1.2197

OUTCOMES OF DELAYED TOTAL HIP ARTHROPLASTY; POST-ACETABULAR FRACTURE FIXATION

Asif Nawaz, Muhammad Aamir, Waleed Salman, Saeed Anwar, Javeria Shah, Faiza Imrad

Abstract

Background: Despite advances in the treatment of acetabular fractures, traumatic osteoarthritis rate is very high & accounts for 13-40% of all hip osteoarthritis cases. Arthroplasty in the context of an acetabular fracture is a complicated procedure whether done as part of the acute therapy (ORIF acute THA) or in the delayed setting (ORIF delayed THA). The objective of this study was to determine the functional outcomes of delayed total hip arthroplasty post-acetabular fracture fixation.

Materials & Methods: This Descriptive was conducted in the department of orthopedics & spine, Hayatabad Medical Complex, Peshawar from February1st 2022 to Oct 31st 2025. Function outcomes of all patients were assessed post-operatively using Harris Hip score. Higher scores indicate better outcomes.

Results: Out of 30 patients included in our study two patients were having Harris Hip score between 90 & 100(Excellent outcome), 21 were having Harris hip score between 80 & 90(Good outcome) while three patients were having Harris hip score between 70 & 80(Fair outcome). Paired t-test was used to compare pre & post-operative outcomes of patients & the results were statistically significant.

Conclusion: Despite the technically challenging procedure, delayed cementless acetabular total hip arthroplasty (THA) is an effective procedure for patients who have had prior unsuccessful acetabular fracture treatment.

Keywords

Acetabular fracture; Arthroplasty; Harris hip score; Osteoarthritis; Total Hip Replacement.

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DOI: https://doi.org/10.46903/gjms/24.1.2197