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Post-Traumatic Arthritis pp 295–301Cite as

Results of Arthroplasty in Post-Traumatic Arthritis

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Abstract

Previous trauma, such as acetabular fractures, can lead to post-traumatic arthritis (PTA). Patients who undergo delayed total hip arthroplasties (THAs) have increased chance of dislocation, heterotopic ossification (HO), and sciatic nerve injury. Preoperative planning is essential prior to surgery, including obtaining previous operative reports, radiographs, and CT scans. These patients may be at increased risk of scarring around the sciatic nerve from previous surgeries and nerve monitoring may be beneficial. There are also surgical considerations including using preexisting incisions, deciding whether or not to remove hardware, and removing HO. Patients who have acetabular deficiency from a previous trauma may require allograft, autograft, structural augments, and revision acetabular shells. Patients with PTA may need different postoperative management, as they might require restricted weight bearing and may require HO prophylaxis. Despite these potential difficulties, the results of arthroplasty after PTA can improve patient function, although there may be increased complications of loosening and revision. Thus, caution must be taken when performing arthroplasty in patients with PTA, as these patients may have poorer outcomes compared to primary arthroplasty performed in patients with OA.

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Conflict of Interest

None of the authors listed above have a financial interest in this chapter.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Rothman Institute, Philadelphia, PA, USA

    Antonia F. Chen M.D., M.B.A. & Javad Parvizi M.D., F.R.C.S.

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  1. Antonia F. Chen M.D., M.B.A.
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  2. Javad Parvizi M.D., F.R.C.S.
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Correspondence to Antonia F. Chen M.D., M.B.A. .

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Editors and Affiliations

  1. Professor, Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA

    Steven A. Olson, MD

  2. Laszlo Ormandy Professor, Department of Orthopedic Surgery, Duke University Medical Center, Durham, North Carolina, USA

    Farshid Guilak, PhD

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Chen, A.F., Parvizi, J. (2015). Results of Arthroplasty in Post-Traumatic Arthritis. In: Olson, MD, S., Guilak, PhD, F. (eds) Post-Traumatic Arthritis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7606-2_23

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  • DOI: https://doi.org/10.1007/978-1-4899-7606-2_23

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7605-5

  • Online ISBN: 978-1-4899-7606-2

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