| Potential complications
associated with acetabulum fractures include post-traumatic
arthritis, ectopic bone formation, and avascular necrosis of
the femoral head (lack of blood supply that will cause the bone
to die).
A Total Hip Replacement, an operation in which the hip joint is replaced with an artificial joint, is often used to repair damage caused by arthritis. This is a good solution for older patients. However, because the durability of
artificial joints is limited (causing joint failure within approximately 15 years), younger patients will need at least one subsequent replacement in their lifetime. And though results are good with the first implant, subsequent replacements often do not work as well.
To prevent or reduce the risk of
future complications, patients are advised to have regular follow-ups
at minimal cost to them. Arrangements to see other doctors
may be made for patients who live outside California.
Over the last 17 years, Dr. Joel
Matta has carefully documented his treatment of over 684 patients
with fractures of the acetabulum.
- 34 percent had excellent results with fully restored hip function
- 45 percent returned to work
and walk well but refrain from
participation in vigorous sport
and activities
- 8 percent experienced impaired hip function, but have not yet required further surgery
- 13 percent showed poor hip function which significantly impaired movement, often necessitating
further surgery
Accurately predicting the results of surgery for each individual
is not possible. Patients generally have an approximately 80 percent
chance of good results and 20 percent chance of poor results.
The extent of recovery after surgery sometimes
depends on other injuries associated with the trauma, the location
and severity of the fracture, and the age and general condition
of the patient. Most patients with poor results have
suffered complicated fractures and other related injuries.

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© 2001-2007 Joel M. Matta, M.D. Inc., Robert E. Klenck,
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