Total hip arthroplasty in the presence of acetabular non-union can be demanding. The irregular anatomy, the defect, and the presence of fibrous and necrotic tissue can hamper insertion of the acetabular component. We present a case of total hip arthroplasty in a patient with post-traumatic necrosis of the femoral head and non-union of the acetabulum and follow-up one year after the operation. Following accurate preoperative planning, removal of the pseudarthrosis material, and the use of the femoral head as an autograft, it was possible to insert the acetabular cup satisfactorily in a single-stage procedure.
YueJ.J., SontichJ.K., MironS.D.. Blood flow changes to the femoral head after acetabular fracture or dislocation in the acute injury and perioperative periods.J Orthop Trauma2001; 15: 170–6.
LetournelE.. The treatment of acetabular fracture through the ilioinguinal approach.Clin Orthop Relat Res1993; 292: 62–76.
4.
MattaJ.M.. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury.J Bone Joint Surg Am1996; 78: 1632–45.
5.
MayoK.A.. Open reduction and internal fixation of fractures of the acetabulum. Results in 163 fractures.Clin Orthop Relat Res1994; 305: 31–7.
6.
WrightR., BarretK., ChristieM.J., JohnsonK.D.. Acetabular fractures: long-term follow-up of open reduction and internal fixation.J Orthop Trauma1994; 8: 397–403.
7.
MearsD.C., VelyvisJ.H.. Acute total hip arthroplasty for selected displaced acetabular fractures: two to twelve-year results.J Bone Joint Surg Am2002; 84: 1–9.
8.
LetournelE.. Diagnosis and treatment of nonunions and malunions of acetabular fractures.Orthop Clin North Am1990; 21: 769–88.
9.
HarrisW.H.. Traumatic arthritis of the hip after dislocation and acetabular fractures: tratment by mold arthroplasty. an end-result study using a new method of result evaluation.J Bone Joint Surg Am1969; 51: 737–55.
10.
JudetR., JudetJ., LanzettaA., LetournelE.. Fractures of the acetabulum. Classification and guiding rules for open reduction.Arch Orthop1968; 81: 119–58.
11.
ToniA., TrainaF., VicecontiM.. Computer assisted tridimensional preoperative planning in hip revision surgery.Chir Organi Mov2003; 88: 273–80.
12.
BellabarbaC., BergerR.A., BentleyC.D.. Cementless acetabular reconstruction after acetabular fracture.J Bone Joint Surg Am2001; 83: 868–76.
13.
MearsD.C., VelyvisJ.H.. Primary total hip arthroplasty after acetabular fracture.Instr Course Lect2001; 50: 335–54.
14.
GlasP.Y., Béjui-HuguesJ., CarretJ.P.. Total hip arthroplasty after treatment of acetabular fracture.Rev Chir Orthop Reparatrice Appar Mot2005; 91: 124–31.
15.
MattaJ.M., FergusonT.A.. Total hip replacement after acetabular fracture.Orthopedics2005; 28: 959–60.
16.
HarrisW.H., CrothersO., OhI.. Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults.J Bone Joint Surg Am1977; 59: 752–9.
17.
MalkinC., TauberC.. Total hip arthroplasty and acetabular bone grafting for unreduced fracture-dislocation of the hip.Clin Orthop Relat Res1985; 201: 57–9.
18.
BerryD.J.. Total hip arthroplasty following acetabular fracture.Orthopedics1999; 22: 837–9.
19.
CoventryM.B.. The treatment of fracture-dislocation of the hip by total hip arthroplasty.J Bone Joint Surg Am1974; 56: 1128–34.
