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September 10, 2025The Bone & Joint Journal

Total hip arthroplasty for acute acetabular fractures through the replace-in-situ philosophy

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Authors

BRBoopalan RamasamyJAJohn M. AbrahamsABAlexandra C. Bunting

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Overview

Observational analysis assessed clinical outcomes of total hip arthroplasty in acute acetabular fractures, implying potential advantages over traditional fix-and-replace methods.

Key Points

  • THA using the replace-in-situ technique shows promising outcomes, with all fractures healing within six months.
  • Four patients required further surgery, including one revision for cup loosening at 18 months and a femoral periprosthetic fracture.
  • Patients who survived the acute episode returned to baseline function, showing the technique's effectiveness in functional recovery.
  • Larger multicenter studies are needed to compare clinical outcomes with traditional THA approaches for osteoarthritis.

Cite This Study

Ramasamy et al. (2025) studied this question.

synapsesocial.com/papers/68c23f63b210217d64796b74https://doi.org/10.1302/0301-620x.107b8.bjj-2024-1232.r1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute total hip replacement of acetabular fractures with cementless modular revision cups in patients older than 55 years: A retrospective cohort study2025
  2. 2Functional and radiological outcomes in elderly acetabular fracture patients treated with internal fixation and acute total hip arthroplasty2025
  3. 3Outcomes of THA versus ORIF for Acetabular Fractures in Older Adults2025 · 1 citations
  4. 4Fixation Versus Acute Total Hip Arthroplasty for Acetabular Fracture: A Cost-Effectiveness Analysis2025
  5. 5To Analyze the Outcomes of Various Methods of Treatment of Periprosthetic Fracture Following Hip Arthroplasty- A Retrospective Study to Form the Optimal Treatment Guidelines2023