Retrospective Evaluation of Total Hip Replacement After Acetabular Fractures

In 1965, Emile Letournel and Robert Judet reported their experiences on acetabular fractures at the 5th day of the Raymond Poincaré Hospital in Garches. Classification Letournel is still relevant and in use today.

Many studies have sought to determine if the treatment had to be surgical or orthopedic. Although the standard treatment of displaced fractures of the acetabulum is the reduction and osteosynthesis, some advocate the THA in elderly patients with comminuted fracture of the acetabulum, impaction of the femoral head or acetabular impaction affecting more than 40% of the articular surface and including bearing zone. All these treatments and those supported have been studied in the literature.

However the study of the laying of total hip remote trauma after acetabular fracture osteosynthesis or treated conservatively, is not rich in literature. Only a few articles have been published in recent years.

Indeed, a recent review of the literature are nearly 11 series focusing on the results remotely hip prostheses for treatment of acetabular fracture. These two prospective series with between 21 and 63 patients. All authors report rates well above those reported complications for primary arthroplasty, with a revision of rates ranging between 0 and 26.5%.

Fractures of the acetabulum are covered in our service by one operator using the same release technique based on the stiffening. The objective of this study is to determine whether the systematic surgical treatment of these patients by an experienced operator reduces the high complication rate.

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Key information

Conditions

Total Hip Acetabular Fracture

Sex eligibility

All sexes

Study type

Observational

Primary location

Groupe Hospitalier Paris Saint Joseph

Paris, Île-de-France Region, 75014, France

About this study

II. objectives:

Evaluation of the rate and type of complications intraoperative and postoperative, and revision rates.
Evaluation of clinical results based on surgical strategies.

III. Methodology

This is a single-center retrospective study single-operator regarding the evaluation of surgical practice cited in goal.

Patients were aware of the potential use of their data for medical research through oral information provided by the doctor at the signing by the patient's consent related to the surgery.

IV. Nature of the data collected

The data is anonymous and unidentifiable.

Data collected include:

The characteristics of the patient, as well as its history,
The particular technical operating data,
The nature of possible post-operative complications
The clinical and radiological assessment at follow: AP pelvic radiograph, Harris score and score Postel Merle D'aubigné.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients who have had a fracture of the acetabulum ostéosynthèsée treated conservatively or who had a total hip replacement by secondary intention.
Operated at St. Joseph's Hospital between 2005 and 2013
Decline minimum of one year.

Exclusion criteria

Total first-line hip arthroplasty following fracture of the acetabulum made within two months following the date of the initial trauma.

Treatment and study plan

no intervention. observational study

Other

Primary outcomes

Assessment of the success of the surgical strategy

Time frame: month 6

According to the surgery strategy adopted, the investigators will response to the simple question. Success or not success?

Sponsors and collaborators

Lead sponsor

Fondation Hôpital Saint-Joseph

Other

Registry information

Acronym: PTHPOSTCOTYL

Important dates

Study start: 2015
Primary completion: 2016
Study completion: 2019
First posted: Sep 8, 2016
Registry last updated: Feb 5, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed