COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2395-1354

Online ISSN:-2395-1362

CODEN : IJOSHC

Current Issue

Year 2020

Volume: 6 , Issue: 1

Article Access statistics

Viewed: 516

Emailed: 0

PDF Downloaded: 305

Indian Journal of Orthopaedics Surgery


Results of single-stage acetabulum reconstruction and total hip arthroplasty in the management of pelvic discontinuity caused by ununited acetabulum fracture


Full Text PDF Share on Facebook Share on Twitter


Author Details : Dharmendra Kumar, Narendra Singh Kushwaha*, Yashwardhan Jaiswal, Amit Singh, Vineet Sharma

Volume : 4, Issue : 4, Year : 2018

Article Page : 368-374


Suggest article by email


Abstract

Introduction: Non-union of acetabulum fracture is a common occurrence in developing countries. Pelvic discontinuity due to ununited fracture acetabulum poses a serious challenge in the management of the patient. Results of ORIF of these fractures are not promising due to various reasons. We aim to present results on single-stage acetabulum reconstruction and total hip arthroplasty, the literature on which is lacking.
Materials and Methods: We prospectively studied the outcome of single-stage acetabulum reconstruction and total hip arthroplasty in patients with pelvic discontinuity caused by ununited fracture acetabulum of more than 3 months duration. From March 2015 to December 2018, 11patients (7 males, 4 females, average age 42 years) were treated in our hospital. All cases underwent open reduction internal fixation with posterior column plate, impaction bone grafting, uncemented porous coated hemispherical acetabulum cup hip arthroplasty.
Results: Union of the columns was achieved in all the cases with 7 patients (63.6%) showed union at 12 months and rest 4 patients (36.4%) took 18 months to unite. At final follow up, mean Harris hip score improved from 54.2 points (range 24-63) to 91.4 points (range 79-95). One superficial surgical site infection and one heterotopic ossification was noted in our study which had no sequel on clinical outcome at their last follow up.
Conclusion: Single stage acetabulum reconstruction by posterior column plating with impaction bone grafting and uncemented porous coated hemispherical acetabulum cup hip arthroplasty is a genuine option in management of pelvic discontinuity caused by ununited fracture of acetabulum.

Keywords: Neglected fracture acetabulum, Ununited fracture acetabulum, Pelvic discontinuity, Acetabulum reconstruction, Single stage acetabulum reconstruction.

Doi : 10.18231/2395-1362.2018.0071

How to cite : Kumar D, Kushwaha N S, Jaiswal Y, Singh A, Sharma V, Results of single-stage acetabulum reconstruction and total hip arthroplasty in the management of pelvic discontinuity caused by ununited acetabulum fracture. Indian J Orthop Surg 2018;4(4):368-374

Copyright © 2018 by author(s) and Indian J Orthop Surg. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)