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HOME > J Musculoskelet Trauma > Volume 32(3); 2019 > Article
Review Article Principles for Management of Periprosthetic Acetabular Fractures after Hip Arthroplasty
Chan Woo Park, Hyoung Keun Oh, Woo Suk Lee, Youn Soo Park, Seung Jae Lim
Journal of Musculoskeletal Trauma 2019;32(3):148-156.
DOI: https://doi.org/10.12671/jkfs.2019.32.3.148
Published online: July 31, 2019
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2Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. 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3Department of Orthopedic Surgery, Gangnam Severance Hospital, Seoul, Korea. 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Abstract

Periprosthetic acetabular fracture (PAF) is an uncommon complication following hip arthroplasty. However, as the number of people needing hip prostheses continues to rise, the absolute number of PAF is expected to increase as well. These fractures may occur either intraoperatively or postoperatively. Postoperative fractures can be caused by traumatic events or by pathologic conditions related to periacetabular osteolysis. The management of PAF usually depends on the degree of displacement and the stability of the acetabular component. While most of non-displaced fractures can be managed nonoperatively by protected weight bearing, displaced fractures with unstable implants require surgical intervention, which is often technically challenging. This review summarized the latest findings on the epidemiology, the diagnosis, the classification, and the treatment of PAF.


J Korean Fract Soc. 2019 Jul;32(3):148-156. Korean.
Published online Jul 24, 2019.
https://doi.org/10.12671/jkfs.2019.32.3.148
Copyright © 2019 The Korean Fracture Society. All rights reserved.
Review

Principles for Management of Periprosthetic Acetabular Fractures after Hip Arthroplasty

Chan-Woo Park, M.D., Hyoung-Keun Oh, M.D.,* Woo-Suk Lee, M.D.,† Youn-Soo Park, M.D. and Seung-Jae Lim, M.D.
    • Department of Orthopedic Surgery, Samsung Medical Center, Seoul, Korea.
    • *Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
    • †Department of Orthopedic Surgery, Gangnam Severance Hospital, Seoul, Korea.
  • Correspondence to: Seung-Jae Lim, M.D. Department of Orthopedic Surgery, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea. Tel: +82-2-3410-1226, Fax: +82-2-3410-0061, Email: limsj70@gmail.com
Received May 08, 2019; Revised May 15, 2019; Accepted May 15, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Periprosthetic acetabular fracture (PAF) is an uncommon complication following hip arthroplasty. However, as the number of people needing hip prostheses continues to rise, the absolute number of PAF is expected to increase as well. These fractures may occur either intraoperatively or postoperatively. Postoperative fractures can be caused by traumatic events or by pathologic conditions related to periacetabular osteolysis. The management of PAF usually depends on the degree of displacement and the stability of the acetabular component. While most of non-displaced fractures can be managed nonoperatively by protected weight bearing, displaced fractures with unstable implants require surgical intervention, which is often technically challenging. This review summarized the latest findings on the epidemiology, the diagnosis, the classification, and the treatment of PAF.

Keywords
Periprosthetic fractures, Acetabulum, Hip, Arthroplasty, Classification, Therapeutics

Figures

Fig. 1
(A) A 55-year-old female underwent total hip arthroplasty due to rheumatoid arthritis on her left hip. (B) Fractures on the superior and inferior ramus were found after the patient suffered a minor trauma at 8 months postoperatively. Arrows indicate pubic rami fractures. (C) The fractures were healed after 6 months with conservative management. The acetabular component was stable without pain.

Fig. 2
(A) Postoperative radiograph of a 52-year-old female with developmental dysplasia of the hip. (B) Non-displaced fracture of the posterior column was observed in the Lowenstein lateral radiograph at 2 months postoperatively. An arrow indicates posterior column fracture. (C) The fracture was healed with callus formation after 4 months of protected weight-bearing.

Fig. 3
(A) A 55-year-old female with secondary osteoarthritis due to tuberculosis sequelae underwent total hip arthroplasty. (B) Eighteen-year postoperative radiograph showed severe osteolytic lesions around the acetabular cup and proximal stem. A minor traumatic event caused periprosthetic acetabular and greater trochanteric fractures. (C–E) The corresponding computed tomography scan indicated pelvic discontinuity caused by a transverse acetabular fracture. Arrows indicate fracture lines causing pelvic discontinuity. (F, G) Massive impaction bone grafting was performed, followed by acetabular revision using a 64-mm jumbo cup with multiple screw holes.

Fig. 4
(A, B) The acetabular prosthesis became unstable due to a traumatic periprosthetic acetabular fracture. (C, D) The three-dimensional reconstruction images showed a displaced acetabular fracture involving both columns and the iliac wing. (E, F) After removing the previous prosthesis, the fracture was treated by open reduction and internal fixation with two reconstruction plates. The acetabular component was revised with the help of tantalum metal block and additional screws. Three-month postoperative radiographs showed stable implant fixations.

Fig. 5
(A, B) Preoperative radiographs showing a displaced acetabular fracture with the protrusion of the bipolar cup into the pelvic cavity. (C, D) Computed tomography images showed comminuted fracture of the medial wall of the acetabulum. (E) The displaced quadrilateral surface was visualized through the modified Stoppa approach. (F–H) After open reduction of depressed articular surface of the acetabulum, buttress plating was performed using reconstruction plates and screws. (I, J) Five-month postoperative radiographs showed the stable bipolar component in the congruent hip joint.

Tables

Table 1
Classification of Periprosthetic Acetabular Fractures by Davidson et al.1)

Table 2
Classification of Periprosthetic Acetabular Fractures by Pascarella et al.29)

Notes

Financial support:None.

Conflict of interests:None.

References

    1. Davidson D, Pike J, Garbuz D, Duncan CP, Masri BA. Intraoperative periprosthetic fractures during total hip arthroplasty. Evaluation and management. J Bone Joint Surg Am 2008;90:2000–2012.
    1. Simon P, von Roth P, Perka C. Treatment algorithm of acetabular periprosthetic fractures. Int Orthop 2015;39:1995–2003.
    1. Helfet DL, Ali A. Periprosthetic fractures of the acetabulum. Instr Course Lect 2004;53:93–98.
    1. Kim YS, Callaghan JJ, Ahn PB, Brown TD. Fracture of the acetabulum during insertion of an oversized hemispherical component. J Bone Joint Surg Am 1995;77:111–117.
    1. Sharkey PF, Hozack WJ, Callaghan JJ, et al. Acetabular fracture associated with cementless acetabular component insertion: a report of 13 cases. J Arthroplasty 1999;14:426–431.
    1. Curtis MJ, Jinnah RH, Wilson VD, Hungerford DS. The initial stability of uncemented acetabular components. J Bone Joint Surg Br 1992;74:372–376.
    1. Haidukewych GJ, Jacofsky DJ, Hanssen AD, Lewallen DG. Intraoperative fractures of the acetabulum during primary total hip arthroplasty. J Bone Joint Surg Am 2006;88:1952–1956.
    1. Chatoo M, Parfitt J, Pearse MF. Periprosthetic acetabular fracture associated with extensive osteolysis. J Arthroplasty 1998;13:843–845.
    1. Chitre A, Wynn Jones H, Shah N, Clayson A. Complications of total hip arthroplasty: periprosthetic fractures of the acetabulum. Curr Rev Musculoskelet Med 2013;6:357–363.
    1. Benazzo F, Formagnana M, Bargagliotti M, Perticarini L. Periprosthetic acetabular fractures. Int Orthop 2015;39:1959–1963.
    1. Miller AJ. Late fracture of the acetabulum after total hip replacement. J Bone Joint Surg Br 1972;54:600–606.
    1. McElfresh EC, Coventry MB. Femoral and pelvic fractures after total hip arthroplasty. J Bone Joint Surg Am 1974;56:483–492.
    1. Peterson CA, Lewallen DG. Periprosthetic fracture of the acetabulum after total hip arthroplasty. J Bone Joint Surg Am 1996;78:1206–1213.
    1. Takigami I, Ito Y, Mizoguchi T, Shimizu K. Pelvic discontinuity caused by acetabular overreaming during primary total hip arthroplasty. Case Rep Orthop 2011;2011:939202
    1. Della Valle CJ, Momberger NG, Paprosky WG. Periprosthetic fractures of the acetabulum associated with a total hip arthroplasty. Instr Course Lect 2003;52:281–290.
    1. Berry DJ, Lewallen DG, Hanssen AD, Cabanela ME. Pelvic discontinuity in revision total hip arthroplasty. J Bone Joint Surg Am 1999;81:1692–1702.
    1. Zwartelé RE, Witjes S, Doets HC, Stijnen T, Pöll RG. Cementless total hip arthroplasty in rheumatoid arthritis: a systematic review of the literature. Arch Orthop Trauma Surg 2012;132:535–546.
    1. McGrory BJ. Periprosthetic fracture of the acetabulum during total hip arthroplasty in a patient with Paget's disease. Am J Orthop (Belle Mead NJ) 1999;28:248–250.
    1. Desai G, Ries MD. Early postoperative acetabular discontinuity after total hip arthroplasty. J Arthroplasty 2011;26:1570.e17–1570.e19.
      .
    1. Martin JR, Barrett IJ, Sierra RJ, Lewallen DG, Berry DJ. Preoperative radiographic evaluation of patients with pelvic discontinuity. J Arthroplasty 2016;31:1053–1056.
    1. Goodman SB, Adler SJ, Fyhrie DP, Schurman DJ. The acetabular teardrop and its relevance to acetabular migration. Clin Orthop Relat Res 1988;(236):199–204.
    1. Onsten I, Carlsson AS, Ohlin A, Nilsson JA. Migration of acetabular components, inserted with and without cement, in onestage bilateral hip arthroplasty. A controlled, randomized study using roentgenstereophotogrammetric analysis. J Bone Joint Surg Am 1994;76:185–194.
    1. Udomkiat P, Wan Z, Dorr LD. Comparison of preoperative radiographs and intraoperative findings of fixation of hemispheric porous-coated sockets. J Bone Joint Surg Am 2001;83:1865–1870.
    1. Fehring KA, Howe BM, Martin JR, Taunton MJ, Berry DJ. Preoperative evaluation for pelvic discontinuity using a new reformatted computed tomography scan protocol. J Arthroplasty 2016;31:2247–2251.
    1. Gelalis ID, Politis AN, Arnaoutoglou CM, Georgakopoulos N, Mitsiou D, Xenakis TA. Traumatic periprosthetic acetabular fracture treated by acute one-stage revision arthroplasty. A case report and review of the literature. Injury 2010;41:421–424.
    1. Harvie P, Gundle R, Willett K. Traumatic periprosthetic acetabular fracture: life threatening haemorrhage and a novel method of acetabular reconstruction. Injury 2004;35:819–822.
    1. Callaghan JJ, Kim YS, Pederson DR, Brown TD. Periprosthetic fractures of the acetabulum. Orthop Clin North Am 1999;30:221–234.
    1. Duncan CP, Haddad FS. The Unified Classification System (UCS): improving our understanding of periprosthetic fractures. Bone Joint J 2014;96:713–716.
    1. Pascarella R, Sangiovanni P, Cerbasi S, et al. Periprosthetic acetabular fractures: a new classification proposal. Injury 2018;49 Suppl 3:S65–S73.
    1. Ko PS, Chan WF, Wong MK, Leung MF, Lee OB, Lam JJ. Fixation using acetabular reconstruction cage and cancellous allografts for intraoperative acetabular fractures associated with cementless acetabular component insertion. J Arthroplasty 2004;19:643–646.
    1. Springer BD, Berry DJ, Cabanela ME, Hanssen AD, Lewallen DG. Early postoperative transverse pelvic fracture: a new complication related to revision arthroplasty with an uncemented cup. J Bone Joint Surg Am 2005;87:2626–2631.
    1. Whaley AL, Berry DJ, Harmsen WS. Extra-large uncemented hemispherical acetabular components for revision total hip arthroplasty. J Bone Joint Surg Am 2001;83:1352–1357.
    1. Paprosky W, Sporer S, O'Rourke MR. The treatment of pelvic discontinuity with acetabular cages. Clin Orthop Relat Res 2006;453:183–187.
    1. Rogers BA, Whittingham-Jones PM, Mitchell PA, Safir OA, Bircher MD, Gross AE. The reconstruction of periprosthetic pelvic discontinuity. J Arthroplasty 2012;27:1499–1506.e1.
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    Principles for Management of Periprosthetic Acetabular Fractures after Hip Arthroplasty
    J Korean Fract Soc. 2019;32(3):148-156.   Published online July 31, 2019
    DOI: https://doi.org/10.12671/jkfs.2019.32.3.148
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