Total hip replacement after acetabular fracture.

The controversies surrounding total hip arthroplasty after acetabular fracture are presented in this article. Hip arthroplasty for acute treatment of acetabular fractures is rarely indicated. In general, total hip arthroplasty should be reserved for the late salvage of hips in which symptomatic, post-traumatic arthritis has developed after acetabular fracture. Preoperative, intraoperative, and postoperative management are discussed. Modern surgical techniques may improve the long-term survival of total hip arthroplasty after acetabular fracture, particularly the acetabular component