Retrospective Evaluation of Total Hip Replacement After Acetabular Fractures

NCT02892240 | Completed DMC

• 1 other identifier: PTHPOSTCOTYL
• Study Type: observational
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Total Hip; Acetabular Fracture

Outcome Measures

Primary Outcomes (1)

• Assessment of the success of the surgical strategy

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

  month 6

Interventions

No intervention. Observational study OTHER

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

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

You may qualify if:

• 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.

You may not qualify if:

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

Sponsors & Collaborators

• Fondation Hôpital Saint-Joseph: lead

Study Sites (1)

Groupe Hospitalier Paris Saint Joseph

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

Location

Study Officials

• Pomme P JOUFFROY, MD

  Fondation Hôpital Saint-Joseph

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 2, 2016
• First Posted: September 8, 2016
• Study Start: January 1, 2015
• Primary Completion: December 31, 2016
• Study Completion: December 31, 2019
• Last Updated: February 5, 2020

Record last verified: 2020-02

Locations

FR (1)