Systematic review identifies risk factors for conversion THA in patients with acetabular fractures, suggesting age and femoral head impaction are significant predictors.
Key Points
Older age and femoral head impaction are strong predictors of conversion to total hip arthroplasty after acetabulum fractures.
In multivariable analyses, age and femoral head impaction demonstrated high certainty in association with conversion THA.
A total of 38 studies involving 6,931 fractures were included in this systematic review, assessing various risk factors.
Moderate certainty was found for multiple other factors such as dislocation and nonanatomic reduction relating to conversion THA.