Evidence map›Paper›PMID 29773451›Full record

SynthesisChinese journal of traumatology = Zhonghua chuang shang za zhi2018

Total hip arthroplasty for posttraumatic osteoarthritis following acetabular fracture: A systematic review of characteristics, outcomes, and complications.

Robert D Stibolt, Harshadkumar A Patel, Samuel R Huntley, Eva J Lehtonen, Ashish B Shah, Sameer M Naranje

Erratum issuedOpen access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Acute versus delayed total hip arthroplasty after acetabular fracture fixation: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. "The double impact: insights into bilateral acetabulum fractures".European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Indications and Outcomes of Total Hip Arthroplasty in Patients Aged 15 to 45 years.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  13. Article
  14. Review
  15. Preventing complications during acetabular fracture surgery, a review.Journal of clinical orthopaedics and trauma · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Risk factors for conversion to total hip arthroplasty after acetabular fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Robert D StiboltDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.
Harshadkumar A PatelDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.
Samuel R HuntleyDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.
Eva J LehtonenDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.
Ashish B ShahDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.
Sameer M NaranjeDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA. Electronic address: snaranje@uabmc.edu.
University of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePosttraumatic arthritis (PTA) may develop years after acetabular fracture, hindering joint function and causing significant chronic musculoskeletal pain. Given the delayed onset of PTA, few studies have assessed outcomes of delayed total hip arthroplasty (THA) in acetabular fracture patients. This study systematically reviewed the literature for outcomes of THA in patients with PTA and prior acetabular fracture.

methodsPubmed, EMBASE, SCOPUS, and Cochrane library were searched for articles containing the keywords "acetabular", "fracture", "arthroplasty", and "post traumatic arthritis" published between 1995 and August 2017. Studies with less than 10 patients, less than 2 years of follow-up, conference abstracts, and non-English language articles were excluded. Data on patient demographics, surgical characteristics, and outcomes of delayed THA, including implant survival, complications, need for revision, and functional scores, was collected from eligible studies.

resultsWith 1830 studies were screened and data from 10 studies with 448 patients were included in this review. The median patient age on date of THA was 51.5 years, ranging from 19 to 90 years. The median time from fracture to THA was 37 months, with a range of 27-74 months. Mean follow-up times ranged from 4 to 20 years. The mean Harris hip scores (HHS) improved from 41.5 pre-operatively, to 87.6 post-operatively. The most prevalent postoperative complications were heterotopic ossification (28%-63%), implant loosening (1%-24%), and infection (0%-16%). The minimum 5-year survival of implants ranged from 70% to 100%. Revision rates ranged from 2% to 32%.

conclusionDespite the difficulties associated with performing THA in patients with PTA from previous acetabular fracture (including soft tissue scarring, existing hardware, and acetabular bone loss) and the relatively high complication rates, THA in patients with PTA following prior acetabular fracture leads to significant improvement in pain and function at 10-year follow-up. Further high quality randomized controlled studies are needed to confirm the outcomes after delayed THA in these patients.

Indexed as

AcetabulumAdultAgedAged, 80 and overArthroplasty, Replacement, HipFractures, BoneHumansMiddle AgedOsteoarthritisPostoperative ComplicationsAcetabular fracturesDelayed total hip arthroplastyHeterotopic ossificationPost-operative complicationsPosttraumatic arthritisTotal hip arthroplasty

Identifiers

PMID29773451
PMCPMC6033725
OpenAlexW2801415493

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.