Abstract

The indications of acute total hip arthroplasty (THA) in acetabular fractures are limited and well defined. The reinforcement antiprotrusio cage offers an opportunity to conduct the THA in select unreconstructable acetabular fractures. The need to open-reduce the posterior column and dome fracture is not necessary and the fracture need not be aligned as the Bursch–Schneider’s cage with flange can compensate for significant bone loss. Three patients in this study with unreconstructable acetabular fractures underwent acute THA. They were followed up for 3 years. The mean Harris hip score was 72.7. Two patients returned to their preexisting activity level. The short-term result in terms of Harris hip score is good and preinjury level can be achieved. There were no cases with complications of cage subsidence or osteolysis during the 3-year follow-up.

Authors and Affiliations