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Journal of Research in Orthopedic Science، جلد ۱۰، شماره ۳، صفحات ۰-۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Total Hip Arthroplasty Outcomes for Osteoarthritis Secondary to Acetabular Fracture |
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| چکیده انگلیسی مقاله |
Background: Acetabular fractures are common traumatic injuries globally, posing challenges due to their complex nature and difficulties in achieving precise anatomical reduction. Total hip arthroplasty (THA) is a valuable treatment for posttraumatic osteoarthritis secondary to these fractures, but outcomes can vary based on initial fracture management, with optimal strategies remaining debatable.
Objective: This study evaluates THA outcomes in patients with prior acetabular fractures managed with open reduction and internal fixation (ORIF).
Methods: We conducted a retrospective review of patients who underwent THA for posttraumatic osteoarthritis following acetabular fractures managed with ORIF. Inclusion criteria comprised osteoarthritis graded ≥III by the Kellgren-Lawrence classification and a minimum two-year follow-up. Clinical outcomes were assessed using the Harris Hip Score (HHS).
Results: Sixty-eight patients who underwent THA after ORIF for acetabular fractures were included (mean age 52.5 ± 13.8 years). Preoperative HHS improved significantly from 41.4 ± 9.9 to 83.1 ± 10.4 at final follow-up (P < 0.001). Postoperative complications occurred in 54.4%, with 11.8% requiring revision THA.
Conclusion: THA for posttraumatic osteoarthritis following acetabular fractures, particularly in patients managed with ORIF, shows significant clinical improvement but carries a high complication rate. Effective patient selection and management strategies are crucial to optimize outcomes and minimize complications in this challenging patient population. Prospective studies with matched controls are needed to further understand the impact of initial treatment on THA outcomes for acetabular fracture-related osteoarthritis. |
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| کلیدواژه‌های انگلیسی مقاله |
Acetabular fracture, Total hip arthroplasty, Osteoarthritis, Open Fracture Reduction |
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| نویسندگان مقاله |
| Amir Aminian
| Mohammadreza Bahaeddini
| Mehdi Komijani
Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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| نشانی اینترنتی |
http://jros.iums.ac.ir/browse.php?a_code=A-10-962-3&slc_lang=en&sid=1 |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
جراحی هیپ |
| نوع مقاله منتشر شده |
پژوهشی |
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