Failed Internal Fixation: Strategies for Salvage: ARTICLESTotal Hip Arthroplasty Following Failed Internal Fixation of Acetabular FracturesEllis, Thomas M.D.*; Schmidt, Andrew M.D.†Section Editor(s): Probe, Robert A. M.D. Author Information *Department of Orthopaedics & Rehabilitation, School of Medicine, Oregon Health & Science University, Portland, Oregon; and the †Department of Orthopaedic Surgery, University of Minnesota/Hennepin County Medical Center, Minneapolis, Minnesota, U.S.A. Address correspondence and reprint requests to Thomas Ellis, MD, Department of Orthopaedics & Rehabilitation, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., OP 31, Portland, OR 97239-3098 USA. Techniques in Orthopaedics: December 2002 - Volume 17 - Issue 4 - p 427-433 Buy Abstract Summary Total hip arthroplasty after failed open reduction internal fixation of acetabular fractures can be challenging surgery. Recent studies reported that operative time, blood loss, and complication rates are higher than with primary total hip arthroplasty. Soft tissue scarring, heterotopic bone, fracture nonunion, and retained hardware contribute to this increased complexity of the reconstruction. Despite perioperative difficulties with total hip arthroplasty in this patient population, excellent outcome with modern cementless acetabular components can be expected. © 2002 Lippincott Williams & Wilkins, Inc.