ArticleInternational orthopaedics2019
Occult intra-operative periprosthetic fractures of the acetabulum may affect implant survival.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Intraoperative acetabular periprosthetic fracture (IAPF) in total hip arthroplasty: a systematic review of outcomes and complications in conservative and surgical treatment.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Late Diagnosis of Femoral Shaft Perforation During Total Hip Arthroplasty: Case Report.Journal of orthopaedic case reports · 2026Article
- Occult pelvic fractures following primary total hip arthroplasty: A retrospective CT-Based cohort study.Journal of orthopaedics · 2026Article
- Outcomes of Primary Total Hip Arthroplasty Using Custom Femoral Stems in Patients With Secondary Hip Osteoarthritis: A Systematic Review.Arthroplasty today · 2024Article
- Management of Intraoperative Acetabular Fractures in Total Hip Arthroplasty: A Current Concept Review.Hip & pelvis · 2024Review
- Ipsilateral pubic ramus fracture during total hip arthroplasty is not rare: does it matter?Archives of orthopaedic and trauma surgery · 2024Article
- Incidence and outcomes of intraoperative periprosthetic acetabular fractures during cementless total hip arthroplasty: a prospective three-dimensional computer tomography-based study.International orthopaedics · 2024Article
- Periprosthetic Occult Femoral Fracture: An Unknown Side Effect of Press-Fit Fixation in Primary Cementless Total Hip Arthroplasty.Hip & pelvis · 2023Article
- Undetected Intraoperative Periprosthetic Femoral Fractures in Patients Undergoing Primary Total Hip Arthroplasty: A Retrospective Case Series and Literature Review.Orthopaedic surgery · 2023Review
- Relationship Between Acetabular Hounsfield Unit Values and Periprosthetic Fractures in Cementless Total Hip Arthroplasty: A Matched Case-Control Study.Arthroplasty today · 2022Article
- A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Periprosthetic occult acetabular fracture: an unknown side effect of press-fit techniques in primary cementless total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Good mid-term results with the trident peripheral self-locking cup: a clinical evaluation and migration measurement with EBRA.Archives of orthopaedic and trauma surgery · 2021Article
- [Periprosthetic fractures of the acetabulum: osteosynthesis].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- Fixation, sex, and age: highest risk of revision for uncemented stems in elderly women - data from 66,995 primary total hip arthroplasties in the Norwegian Arthroplasty Register.Acta orthopaedica · 2020Article
- Outcomes of cerclage wiring to manage intra-operative femoral fracture occurring during cementless hemiarthroplasty in older patients with femoral neck fractures.International orthopaedics · 2019Article
- Acetabular reinforcement rings associated with allograft for severe acetabular defects.International orthopaedics · 2019Review
- Article
- Management of Paprosky type three B acetabular defects by custom-made components: early results.International orthopaedics · 2019Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOccult intra-operative periprosthetic acetabular fracture is a seldom-reported complication of primary total hip arthroplasty (THA). It may potentially be associated with cup instability and implant loosening. The present study aimed to investigate clinical consequences of this complication.
methodsBetween 2003 and 2012, a total of 3390 cementless total hip arthroplasties (THA) were performed at our institution. Their medical histories were retrospectively reviewed to identify all patients who received a thin-layer computer tomography (CT) scan of the pelvis including the acetabulum within the first 30 post-operative days. They were evaluated and classified by two radiologists independently with respect to the presence of recent acetabular fractures. All cases with acetabular and periacetabular fractures were included in this study. Electronic medical records were reviewed to assess implant revision. Cup stability was measured with EBRA (Einzel-Bild-Röntgen-Analyse) from plain X-rays.
resultsPeriprosthetic fractures of the acetabulum were identified in 58 (50.4%) of 115 selected patients. Fractures close to but not including the acetabulum were identified in 45% (n = 26/58) of the patients, at the superolateral wall in 17% (n = 10/58), at the anterior wall of the acetabulum in 16% (n = 9/58) and in 10% (n = 6/58) each at the medial wall, and at the posterior wall respectively. One out of these 58 fractures could not be classified. Three of a total of six occult medial wall fractures had to be revised, and another two showed a high implant migration. The highest cup migration values however were found after fractures of the superolateral wall. Incomplete column fractures did not influence implant survival.
conclusionCentral wall acetabular fractures, although unrecognized intra- and post-operatively may impair implant survival after THA.
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