Complications of total hip arthroplasty: periprosthetic fractures of the acetabulum
Author:
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine
Link
http://link.springer.com/content/pdf/10.1007/s12178-013-9188-5.pdf
Reference27 articles.
1. • Kim YS, Callaghan JJ, Ahn PB, et al. Fracture of the acetabulum during insertion of an oversized hemispherical component. J Bone Joint Surg Am. 1995;77:111–7. Cadaveric study showing that under-reaming by more than 2 mm when impacting a hemispherical cup can increase the chance of acetabular fracture during component insertion.
2. • Sharkey PF, Hozack WJ, Callaghan JJ, et al. Acetabular fractures associated with cementless acetabular component insertion: a report of 13 cases. J Arthroplasty. 1999;14:426–31. Case series of 13 patients with acute periprosthetic fractures of the acetabulum. They suggest that if found intraoperatively and stable, a screw may be sufficient to stabilize the implant. If found post-operatively conservative management with restricted weight bearing was sufficient to allow union to occur, although patient reported satisfaction in such patients was poorer despite clinical and radiographic fracture union.
3. Curtis MJ, Jinnah RH, Wilson VD, et al. The initial stability of uncemented acetabular components. J Bone Joint Surg Br. 1992;74:372–6.
4. •• Haidukewych GJ, Jacofsky DJ, Hansen AD, et al. Intraoperative fractures of the acetabulum during primary total hip arthroplasty. J Bone Joint Surg Am. 2006;88–A:1952–56. This is the largest reported series to look specifically at intraoperative acetabular fractures. They show a prevalence of 0.4% in uncemented components, whilst demonstrating a significant difference in rates depending on type of shell (elliptical higher then hemispherical).
5. Takigami I, Ito Y, Mizoguchi T, et al. Pelvic discontinuity caused by acetabular over-reaming during primary total hip arthroplasty. Case Reports in Orthopaedics. 2011. Article ID 939202.
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