Post traumatic arthritis results from an injury to the ball, socket or both of the hip joint.
Malunited acetabular fractures, femoral head fractures, pelvic fractures are the main injuries that can lead to post traumatic arthritis. In India, acetabular or socket fractures are the most common cause of post traumatic arthritis.
Symptoms- develop shortly or after several years. You may experience discomfort or pain in the injured hip even after the treatment is over. You might limp on the affected leg. The leg may become shorter and deformed. Movements are restricted. Gradual deterioration occurs. Further treatment is then required.
Hip replacement is often required to treat pain. Hip replacement can be done either with the short stem or or total hip replacemen or resurfacing. Hips with large diameter heads are better than conventional hips with small diameter heads. Birmingham Hip resurfacing is another option. In younger patients, I use durable bearings like ceramic. In older patient, metal on plastic hip replacement may be sufficient.
X-ray below shows Post traumatic hip arthritis in a patient who had been treated for an acetabular fracture.
Simultaneous avascular necrosis is an accompaniment of post traumatic arthritis. Cysts and cavities may be present in the femoral head.
Watch this presentation on hip replacement for post traumatic arthritis.
Mr.Grandon Benson traveled all the way from Washington state, USA to Chennai to undergo a Birmingham hip resurfacing. He had developed post traumatic arthritis as a result of a snow boarding injury. This injury caused an acetabular fracture. Even though he underwent internal fixation in the US, he developed post traumatic arthritis. He sought hip resurfacing in 2010. Watch his testimonial here. He was able to walk the next day. The pain from the arthritis was gone. He is very happy with the result.