Joint Replacement
Pelvis and acetabulum fractures are often the result of high-energy trauma such as road accidents or falls from height. When these fractures are severe, involve the hip joint surface, or occur in elderly patients with poor bone quality, traditional fixation methods (screws or plates) may not be enough to restore joint function.
In such cases, joint replacement, particularly hip replacement, may be necessary to restore mobility, relieve pain, and allow early rehabilitation.
What Is Joint Replacement for Pelvic/Acetabular Fractures?
Joint replacement involves replacing the damaged hip joint (ball and/or socket) with artificial implants. This is typically done when the acetabular (hip socket) surface is too damaged for successful reconstruction, or when there is a risk of long-term arthritis or joint failure after fracture healing.
- This procedure is known as a:
- Primary Total Hip Replacement (THR) – for fresh fractures
Delayed or Salvage Hip Replacement – if arthritis or failure develops after previous fixation
Procedure Overview:
- Preoperative planning with X-rays and CT scans
- Performed under spinal or general anesthesia
- Damaged bone and cartilage are removed
- Artificial metal or ceramic implants are inserted to replace the hip joint
- The new joint is tested for mobility, and the wound is closed
Benefits of Joint Replacement After Pelvic/Acetabular Fracture:
- Restores joint function and mobility
- Reduces or eliminates pain
- Allows early weight-bearing and physiotherapy
- Avoids long-term complications like avascular necrosis or severe arthritis
- Improves quality of life in elderly or complex trauma patients
Do’s After Surgery
- Begin rehabilitation and walking as advised
- Take medications for pain and infection prevention
- Attend regular follow-ups and imaging reviews
- Practice hip precautions (e.g., avoid crossing legs or bending deeply)
- Maintain a healthy diet and hydration for bone healing
Don’ts After Surgery
- Avoid sudden movements or twisting of the hip
- Don’t lift heavy weights until cleared
- Avoid skipping physiotherapy or prescribed exercises
- Don’t ignore swelling, fever, or wound discharge
- Avoid smoking—it delays healing and increases risks