Current trends in the treatment of acetabular fractures (literature review)

Authors

  • Oleg Vyrva Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0003-0597-4472
  • Dmytro Vatamanitsa Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

DOI:

https://doi.org/10.15674/0030-59872021283-91

Keywords:

Acetabular fractures, acute hip replacement

Abstract

Acetabular fractures are known for their disabling outcomes, so the search for optimal treatment tactics is an actual problem for modern orthopedics and traumatology. Materials and methods. Randomized trials that reflect the results of acetabular fractures treatment depending on the method of treatment were analyzed. The literature was searched in the PubMed Central database. Hip joint is a complex two-component articulated system. Traumatic lesion of all elements of the joint creates the conditions for the development of a wide range of complications and secondary changes that must be taken into account at preoperative treatment. Aceta­bular fracture is an intra-articular injury, where the visualization methods have the prominent significance. Nowadays the treatment can be conservative and surgical. Surgical treatment can be divided into two areas: osteosynthesis and arthroplasty. Anatomical reposition and stable fixation of fragments, in the most of cases, is the key to a satisfactory functional result, but the development of post-traumatic changes in the joint nullifies the results of even perfect osteosynthesis, encourages repeated surgery and, finally, hip replacement. In recent years, primary arthroplasty has been successfully used to treat acetabular fractures, reducing inpatient and rehabilitation period, compared with osteosynthesis, preventing the possible development of secondary degenerative changes in the joint. Conclusions. Acute hip replacement is an effective treatment, however, the technical aspects of reliable fixation of the ace­tabular component of the implant are insufficiently substantiated and highlighted in actual literature and constitute significant research interest.

Author Biographies

Oleg Vyrva, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopаedics

Dmytro Vatamanitsa, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD

References

  1. Melhem, E., Riouallon, G., Habboubi, K., Gabbas, M., & Jouffroy, P. (2020). Epidemiology of pelvic and acetabular fractures in France. Orthopaedics & Traumatology: Surgery & Research, 106(5), 831-839. https://doi.org/10.1016/j.otsr.2019.11.019
  2. Nicol, G. M., Sanders, E. B., Kim, P. R., Beaulé, P. E., Gofton, W. T., & Grammatopoulos, G. (2021). Outcomes of total hip arthroplasty after acetabular open reduction and internal fixation in the elderly—Acute vs delayed total hip arthroplasty. The Journal of Arthroplasty, 36(2), 605-611. https://doi.org/10.1016/j.arth.2020.08.022
  3. Kim, J. W., Herbert, B., Hao, J., Min, W., Ziran, B. H., & Mauffrey, C. (2015). Acetabular fractures in elderly patients: A comparative study of low-energy versus high-energy injuries. International Orthopaedics, 39(6), 1175-1179. https://doi.org/10.1007/s00264-015-2711-0
  4. Zhigun, A. I. (2010). Consequences of fractures of the acetabulum: prediction, diagnosis, treatment (clinical and experimental study). Diss. of Doctor in Medical Sciences. Kharkiv. [in Ukrainian]
  5. Peterson, J. B., Doan, J., Bomar, J. D., Wenger, D. R., Pennock, A. T., & Upasani, V. V. (2015). Sex differences in cartilage topography and orientation of the developing acetabulum: Implications for hip preservation surgery. Clinical Orthopaedics & Related Research, 473(8), 2489-2494. https://doi.org/10.1007/s11999-014-4109-5
  6. Judet, R., Judet, J., & Letournel, E. (1964). Fractures of the acetabulum. The Journal of Bone & Joint Surgery, 46(8), 1615-1675. https://doi.org/10.2106/00004623-196446080-00001
  7. Todd, J. N., Allan, A. N., Maak, T. G., & Weiss, J. A. (2021). Characterization and finite element validation of transchondral strain in the human hip during static and dynamic loading. Journal of Biomechanics, 114, 110143. https://doi.org/10.1016/j.jbiomech.2020.110143
  8. Apivatthakakul, T., Koerner, J. L., Luangsod, S., Buranaphatthana, T., Parry, J., Hadeed, M., Funk, A., Stacey, S., & Mauffrey, C. (2021). Size and location of posterior wall fragment on CT can predict hip instability in a cadaveric model. Injury. https://doi.org/10.1016/j.injury.2021.03.041
  9. Johannsen, A. M., Ejnisman, L., Behn, A. W., Shibata, K., Thio, T., & Safran, M. R. (2019). Contributions of the capsule and Labrum to hip mechanics in the context of hip Microinstability. Orthopaedic Journal of Sports Medicine, 7(12), 232596711989084. https://doi.org/10.1177/2325967119890846
  10. Moed, B. R., Kregor, P. J., Reilly, M. C., & Stover, M. D. (2017). Acetabular Fractures: A Problem-Oriented Approach. Instructional Course Lectures, 66, 3–24
  11. Zlotorowicz, M., Czubak-Wrzosek, M., Wrzosek, P., & Czubak, J. (2018). The origin of the medial femoral circumflex artery, lateral femoral circumflex artery and obturator artery. Surgical and Radiologic Anatomy, 40(5), 515-520. https://doi.org/10.1007/s00276-018-2012-6
  12. Urist, M. R. (1948). Fractures of the acetabulum. Annals of Surgery, 127(6), 1150-1164. https://doi.org/10.1097/00000658-194806000-00004
  13. Ankin, M. L., & Burluka, V. V. (2019). Unified clinical protocol of primary, secondary (specialized), tertiary (highly specialized) medical care. Pelvic injuries and fractures of the bones of the acetabulum. Kyiv. [in Ukrainian]
  14. Tile, M., Helfet, D., & Kellam, J. (1995). The comprehensive classification of pelvic fractures. Berne, Switzerland : Maurice Muller Foundation
  15. Tile, M., Helfet, D. L., Kellam, J. F., & Vrahas, M. (2015). Fractures of the pelvis and acetabulum : Principles methods of management. 4th ed. Thieme : AO Foundation
  16. Letournel, E., & Judet, R. (1993). Fractures of the acetabulum. Berlin : Springer-Verlag
  17. Haidukewych, G. J., Scaduto, J., Herscovici, D., Sanders, R. W., & DiPasquale, T. (2002). Iatrogenic nerve injury in acetabular fracture surgery: A comparison of monitored and unmonitored procedures. Journal of Orthopaedic Trauma, 16(5), 297-301. https://doi.org/10.1097/00005131-200205000-00002
  18. Poletti, P., Sahin, M., Peter, R., Boudabbous, S., Herpe, G., Rutschmann, O. T., & Platon, A. (2018). Femoral head subchondral impaction on CT: What does it mean in patients with acetabular fracture? Skeletal Radiology, 48(6), 939-948. https://doi.org/10.1007/s00256-018-3100-8
  19. Peet, M. M. (1919). Fracture of the acetabulum with intrapelvic displacement of the femoral head. Annals of Surgery, 70(3), 296-355. https://doi.org/10.1097/00000658-191909000-00005
  20. Ryan, S. P., Manson, T. T., Sciadini, M. F., Nascone, J. W., LeBrun, C. T., Castillo, R. C., ... & O'Toole, R. V. (2017). Functional outcomes of elderly patients with Nonoperatively treated acetabular fractures that meet operative criteria. Journal of Orthopaedic Trauma, 31(12), 644-649. https://doi.org/10.1097/bot.0000000000000990
  21. Levine, M. A. (1943). Treatment of central fractures of the acetabulum. A case report. Journal of Bone and Joint Surgery, 25(4), 902–906
  22. Ziran, N., Soles, G. L., & Matta, J. M. (2019). Outcomes after surgical treatment of acetabular fractures: A review. Patient Safety in Surgery, 13(1). https://doi.org/10.1186/s13037-019-0196-2
  23. Mayo, K. A. (1990). Surgical approaches to the acetabulum. Techniques in Orthopaedics, 4(4), 24–35
  24. Chen, M. J., Wadhwa, H., Tigchelaar, S. S., Frey, C. S., Gardner, M. J., & Bellino, M. J. (2020). Trochanteric osteotomy for acetabular fracture fixation: A case series and literature review. European Journal of Orthopaedic Surgery & Traumatology, 31(1), 161-165. https://doi.org/10.1007/s00590-020-02753-9
  25. Helfet, D. L., & Schmeling, G. J. (1994). Management of complex acetabular fractures through single nonextensile exposures. Clinical Orthopaedics and Related Research, 305, 58–68
  26. Trikha, V., & Tornetta, P. (2020). Management of pelvi-acetabular injuries: Global scenario and future trends. Journal of Clinical Orthopaedics and Trauma, 11(6), 961-962. https://doi.org/10.1016/j.jcot.2020.10.041
  27. Wu, H., Shao, Q., Song, C., Shang, R., Liu, X., & Cai, X. (2020). Personalized three-dimensional printed anterior titanium plate to treat double-column acetabular fractures: A retrospective case-control study. Orthopaedic Surgery, 12(4), 1212-1222. https://doi.org/10.1111/os.12741
  28. Islam, M. N., Rahman, M. M., & Islam, M. S. (2020). Outcome of open reduction and internal fixation of posterior wall fracture of acetabulum. Mymensingh Medical Journal, 29(3), 502–508
  29. Aziz, M. S., Dessouki, O., Samiezadeh, S., Bougherara, H., Schemitsch, E. H., & Zdero, R. (2017). Biomechanical analysis using FEA and experiments of a standard plate method versus three cable methods for fixing acetabular fractures with simultaneous THA. Medical Engineering & Physics, 46, 71-78. https://doi.org/10.1016/j.medengphy.2017.06.004
  30. Swartman, B., Pelzer, J., Beisemann, N., Schnetzke, M., Keil, H., Vetter, S. Y., Grützner, P. A., & Franke, J. (2020). Fracture reduction and screw position after 3D-navigated and conventional fluoroscopy-assisted percutaneous management of acetabular fractures: A retrospective comparative study. Archives of Orthopaedic and Trauma Surgery, 141(4), 593-602. https://doi.org/10.1007/s00402-020-03502-7
  31. Bozzio, A. E., Johnson, C. R., & Mauffrey, C. (2015). Short-term results of percutaneous treatment of acetabular fractures: Functional outcomes, radiographic assessment and complications. International Orthopaedics, 40(8), 1703-1708. https://doi.org/10.1007/s00264-015-2987-0
  32. Giordano, V., Acharya, M. R., Pires, R. E., & Giannoudis, P. V. (2020). Associated both-column acetabular fracture: An overview of operative steps and surgical technique. Journal of Clinical Orthopaedics and Trauma, 11(6), 1031-1038. https://doi.org/10.1016/j.jcot.2020.08.027
  33. Dodd, A., Osterhoff, G., Guy, P., & Lefaivre, K. A. (2016). Assessment of functional outcomes of surgically managed acetabular fractures. The Bone & Joint Journal, 98-B(5), 690-695. https://doi.org/10.1302/0301-620x.98b5.36292
  34. Luengo-Alonso, G., Ibarguen, A. N., Peinado, M. A., Baltasar, J. L., & Doussoux, P. C. (2021). Predictor variables in acetabular fractures surgically treated. Injury. https://doi.org/10.1016/j.injury.2021.02.044
  35. Morita, D., Seki, T., & Takegami, Y. (2019). Acetabular fracture non-union with pelvic discontinuity treated with two-stage total hip arthroplasty after intra- and extra-articular plate fixation. Journal of Medical Sciences, 81(1), 113–119. https://doi.org/10.18999/nagjms.81.1.113
  36. Korzh, A. A. (1963). Heterotopic traumatic ossification, M. [in Russian]
  37. Cichos, K. H., Spitler, C. A., Quade, J. H., Almaguer, A., McGwin, G., & Ghanem, E. S. (2020). Do indomethacin or radiation for heterotopic ossification prophylaxis increase the rates of infection or wound complications after acetabular fracture surgery? Journal of Orthopaedic Trauma, 34(9), 455-461. https://doi.org/10.1097/bot.0000000000001775
  38. Aprato, A., Ghia, C., & Tosto, F. (2019). How much does saving femoral head cost after acetabular fracture? Comparison between ORIF and THA. Acta Orthopaedica Belgica, 85(4), 502–509
  39. Lannes, X., Moerenhout, K., Duong, H. P., Borens, O., & Steinmetz, S. (2020). Outcomes of combined hip procedure with dual mobility cup versus osteosynthesis for acetabular fractures in elderly patients: A retrospective observational cohort study of fifty one patients. International Orthopaedics, 44(10), 2131-2138. https://doi.org/10.1007/s00264-020-04757-w
  40. Filipenko, V. A., Bondarenko, S. E., Zhigun, A. I., & Marushchak, O. P. (2017). Hip arthroplasty in patients with post-traumatic coxarthrosis. Clinical surgery, 8, 67–69. [in Ukrainian]
  41. Sarantis, M., Stasi, S., Milaras, C., Tzefronis, D., Lepetsos, P., & Macheras, G. (2020). Acute total hip arthroplasty for the treatment of acetabular fractures: A retrospective study with a six-year follow-up. Cureus. https://doi.org/10.7759/cureus.10139
  42. Filippenko, V. A., Tankut, V. A., & Zhigun, A. I. (2016). Results of clinical application of acetabular components with a porous tantalum surface in endoprostheses with defects in the walls of the acetabulum and osteoporosis. Trauma, 17(1), 19–23. [in Russian]
  43. Hasenauer, M. D., Paprosky, W. G., & Sheth, N. P. (2018). Treatment options for chronic pelvic discontinuity. Journal of Clinical Orthopaedics and Trauma, 9(1), 58-62. https://doi.org/10.1016/j.jcot.2017.09.009
  44. Mancino, F., Cacciola, G., De Marco, D., Greenberg, A., Perisano, C., Malahias, M., ... & De Martino, I. (2020). Reconstruction options and outcomes for acetabular bone loss in revision hip arthroplasty. Orthopedic Reviews. https://doi.org/10.4081/or.2020.8655

Downloads

How to Cite

Vyrva, O. ., & Vatamanitsa, D. . (2023). Current trends in the treatment of acetabular fractures (literature review). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 83–91. https://doi.org/10.15674/0030-59872021283-91

Issue

No. 2 (2021)

Section

DIGESTS AND REVIEWS

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).