Total hip replacement in patients with posttraumatic coxarthrosis

  • V. A. Filipenko Sitenko Institute of Vertebral Pathology
  • S. Ye. Bondarenko Sitenko Institute of Vertebral Pathology
  • A. I. Zhygun Sitenko Institute of Vertebral Pathology
  • O. P. Marushchak Sitenko Institute of Vertebral Pathology
Keywords: posttraumatic coxarthrosis, defect, acetabulum, endoprosthesis


Differentiated approach to the total hip replacement surgery was used in 29 patients with posttraumatic coxarthrosis. Follow–up period lasted for 3.5 years. Mean Harris Hip Score increased from 35 to 87. Radiological signs of endoprosthesis instability were not registered. The results suggest that restoration of the centre of rotation of the hip joint after the acetabulum wall reconstruction taking into consideration the type of the defect and putting the endoprosthetic cup to the place of acetabulum, using of the “press–fit” fixation cups and of the heads of big diameter allowed to decrease the complication rate and to achieve positive results of the hip replacement.


1. Kim SH, Meehan JP, Blumenfeld T, Szabo RM. Hip fractures in the United States: 2008 nationwide emergency sample. Arthritis Care Res. (Hoboken). 2012;64(5):751–7.

2. Isaacson MJ, Taylor BC, French BG, Poka A.Treatment of acetabulum fractures through the modified Stoppa approach: strategies and outcomes. Clin Orthop Relat Res. 2014;472(11):3345–52.

3. Mittal R, Banerjee S. Proximal femoral fractures: Principles of management and review of literature. J Clin Orthop Trauma. 2012;3(1):15–23.

4. Schwarzkopf R, Manzano G, Woolwine S, Slover J. Salvage treatment of hip fractures after failure of surgical fixation: A systematic review. Orthopaedic Knowledge Online Journal. 2015;13(3).

5. Hui Taek Kim, Jae–Min Ahn, Jun–Oh Hur, et al. Reconstruction of Acetabular Posterior Wall Fractures. Clin Orthop Surg. 2011;3(2):114–20.

6. Ranawat A, Zelken J, Helfet D, Buly R.Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. Journal of Arthroplasty. 2009;24(5):759–67.

7. Filipenko VA, Zlatnik RV, Bondarenko SE, Akondzhom M. Osoblyvosti renthenanatomichnykh zmin kistok kulshovoho suhloba vnaslidok travm. Ortopedyia, travmatolohyia y protezyrovanye. 2015;(3):55–60. [In Ukrainian].

8. Zhyhun AI. Naslidky perelomiv kulshovoi zapadyny: prohnozuvannia, diahnostyka, likuvannia (kliniko–eksperymentalne doslidzhennia [dysertatsiia]. Kharkiv, 2010. 307 s. [In Ukrainian].

9. Haidukewych GJ, Berry DJ. Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures. J Bone Joint Surg. 2003;85–A (5):899–904.

10. Archibeck MJ, Carothers JT, Tripuraneni KR, White RE Jr. Total hip arthroplasty after failed internal fixation of proximal femoral fractures. J Arthroplasty. 2013;28(1):168–71.

11. Chiu FY, Lin YP, Hung SH, et al. Cementless Acetabular Reconstruction for Arthropathy in Old Acetabular Fractures. Orthopedics. 2015;38(10):934–9.

12. Sposib fiksatsii atsetabuliarnoho komponenta u razi endoprotezuvannia kulshovoho suhloba: pat 89686, Ukraina. No u2013 14384; zaiavl. 09.12.2013; opubl. 25.04.2014; Biul. No 8. [In Ukrainian].

13. Harris WH. Traumatic artritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Joint Surg. 1969;51–A (4):737–55.

14. De Lee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res. 1976;121(11):20–32.

15. Khurana S, Nobel TB, Merkow JS, et al. Total hip arthroplasty for Posttraumatic оsteoarthritis of the hip fares worse than THA for primary Osteoarthritis. Am J Orthop (Belle Mead NJ). 2015;44(7):321–5.
How to Cite
Filipenko, V. A., Bondarenko, S. Y., Zhygun, A. I., & Marushchak, O. P. (2017). Total hip replacement in patients with posttraumatic coxarthrosis. Klinicheskaia Khirurgiia, (8), 67-69.
General Problems of Surgery