Periprosthetic Acetabular Fractures

Case Example

A 46-year-old female sustained a periprosthetic acetabular fracture 1 month following a revision Total Hip Arthroplasty (THA) procedure. She was referred to David L. Helfet, MD at the Orthopedic Trauma Service of Hospital for Special Surgery for definitive management of her periprosthetic acetabular fracture. Open Reduction and Internal Fixation (ORIF) was performed with placement of 2 pelvic reconstruction plates and screws and bone graft. She returned for regular follow-up and healed uneventfully and at 6 months following surgery she presented with excellent radiographic and clinical results including a healed periprosthetic acetabular fracture, resolution of hip pain, and return to her activities of daily living.

Radiographs revealing periprosthetic acetabular from a case example presented by the orthopedic trauma service at Hospital for Special Surgery.
Anteroposterior radiographs revealing a periprosthetic acetabular with an anterior dislocation.

$CT scan showing periprosthetic acetabular fracture from a case example presented by the orthopedic trauma service at Hospital for Special Surgery.$
CT scan images further delineating the fracture pattern.

$Radiographs at 6 months healed the periprosthetic acetabular fracture from a case example presented by the orthopedic trauma service at Hospital for Special Surgery.$
Anteroposterior and lateral radiographs at 6 months illustrating a healed periprosthetic acetabular fracture.

Research Publications

The HSS Orthopedic Trauma Service has conducted many studies. Please see our publications on acetabular fractures and periprosthetic fractures.