{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T05:03:08Z","timestamp":1779685388690,"version":"3.53.1"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":143,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Neglected DDH can cause degenerative changes to the hip joint that could result in subsequent hip pain and disability. The best treatment for these patients is total hip arthroplasty (THA) with artificial joint prosthesis implantation. Acetabular fractures in dysplastic hips with THA are uniquely complex, being more unstable, difficult to assess radiographically due to implant interference, and often atypical in pattern. Management is highly challenging, as treatment decisions must balance surgical risks with prosthetic stability and patient factors, making the successful conservative recovery in this case both rare and notable. This case report presents a case of a 42\u2010year\u2010old female patient with neglected DDH who underwent bilateral total hip replacement complicated by a spontaneous acetabular fracture. Radiographs revealed a nondisplaced, spontaneous acetabular fracture in the superior region. Based on the timing and implant stability, the injury was classified as a Pascarella Type 2A. Due to the clinical context and surgical complexity in dysplastic hips with prior THA, the patient was treated conservatively consisting of protected weight\u2010bearing, rehabilitation, and close follow\u2010up, with full improvement.<\/jats:p>","DOI":"10.1155\/cro\/1254882","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T04:26:07Z","timestamp":1779683167000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acetabular Fracture Following Total Hip Replacement in a Patient With Neglected Developmental Dysplasia of the Hip: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"given":"Marah M.","family":"Alomari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5812-9091","authenticated-orcid":false,"given":"Rahaf E.","family":"Farah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinad B.","family":"Shahen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3647-1771","authenticated-orcid":false,"given":"Rou\u2032a","family":"E.Farah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutasem","family":"Iqnaibi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"crossref","DOI":"10.1615\/JLongTermEffMedImplants.2022040393","article-title":"Developmental Dysplasia of the Hip: A Review","volume":"32","author":"Sioutis S.","year":"2022","journal-title":"Journal of Long-Term Effects of Medical Implants"},{"key":"e_1_2_10_2_2","article-title":"Presentation and Management of Neglected Developmental Dysplasia of the Hip (DDH): 8-Years\u2019 Experience With Single Stage Triple Procedure","volume":"34","author":"Zimri F. K.","year":"2018","journal-title":"Pakistan Journal of Medical Sciences [Internet]"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-015-2927-z"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.1.000026"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.12576"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0289-1"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-013-9188-5"},{"key":"e_1_2_10_8_2","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1007\/s00586-005-1044-x","article-title":"Pain Assessment","volume":"15","author":"Haefeli M.","year":"2005","journal-title":"European Spine Journal"},{"key":"e_1_2_10_9_2","unstructured":"Adults - International Hip Dysplasia Institute [Internet] International Hip Dysplasia Institute 2020 available from:https:\/\/hipdysplasia.org\/adults\/."}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/1254882","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cro\/1254882","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/1254882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T04:26:09Z","timestamp":1779683169000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cro\/1254882"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cro\/1254882"],"URL":"https:\/\/doi.org\/10.1155\/cro\/1254882","archive":["Portico"],"relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-08-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1254882"}}