Acetabular distraction hip arthroplasty in neglected transverse and T-shape acetabular fractures : a different application


Acetabular fracture non-union ; pelvic discontinuity ; acetabular distraction ; total hip arthroplasty

Published online: Sep 14 2021

Ayman Abdelaziz Bassiony, Saleh Gameel, Ahmed Nageeb Mahmoud

From the Ain Shams University Hospitals, Cairo, Egypt


Neglected acetabular fractures are often challenging to treat. The aim of this study is to highlight the technique of acetabular distraction with porous metal cup as a viable technique to address such complex cases.

This is a prospective study of seven patients who had neglected acetabular fracture or fracture non-union that were managed with total hip arthroplasty using acetabular distraction and porous metal cup with cemented liner.

The average age of the patients was 51 years (range 36-58 years). Average time of follow up was 18 months (range 12-36 months). Radiological results at latest follow up and by comparing serial radiographs showed that all cases had a well-fixed implant construct without evidence of loosening or malorientation. Average Harris hip score pre-operatively was 46, which improved to an average of 84 post-operatively. Our study shows that total hip replacement using acetabular distraction with porous metal cup provide early good results in reconstruction of acetabular bony deficiencies due to neglected acetabular fracture.