Componente acetabular no cementado en coxartrosis por fractura de cotilo

Abstract

Objective To evaluate the outcomes of cementless acetabular component for post-traumatic arthritis after acetabular fracture. Material and method A prospective study of twenty-four patients with a mean age of 56 years (range: 28-77) and a follow-up 8.4 years (range: 5-15) treated with cementless total hip arthroplasty. The time from fracture to total hip arthroplasty was 3 years (range: 5 months-14 years). The fracture had been treated conservatively in 15 cases and with internal fixation in 9 cases. A clinical assessment was made using with Harris hip score, along with radiology with special interest in the socket. Results Harris hip score increased from 35 points (range: 22-52) to 77 (range: 45-94). Unstable acetabular fixation was seen in 3 cases, 2 with osteolysis that required revision and 1 with a complete radiolucent line. The stem required revision in 1 case. There was 1 case of deep infection and 1 post-traumatic late dislocation. Survival for any cause at 12 years was 78.4%. Discussion and conclusions There are few studies on this topic, and all with a small number of cases. Acetabular failure rate is higher than routine total hip arthroplasty for non-traumatic osteoarthritis. Cementless total hip arthroplasty is a suitable treatment for post-traumatic arthritis after acetabular fracture.