{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T11:27:18Z","timestamp":1786793238559,"version":"build-2736575974"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>Acetabular fractures in young patients are usually treated with open reduction and internal fixation (ORIF) to preserve the native joint. Despite this, many develop post-traumatic arthritis, needing conversion to total hip arthroplasty (THA). The timing of THA and the long-term survival of these implants remain uncertain. We systematically reviewed the literature to determine the interval from ORIF to THA and to evaluate implant survivorship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched PubMed, Embase, Scopus, and Web of Science for studies reporting outcomes of patients &lt;60\u2009years who underwent ORIF for acetabular fracture and later THA. Data extracted on patient demographics, fracture type, time to THA, survivorship, and complications. Pooled estimates were calculated using random-effects models, and survivorship summarised using Kaplan\u2013Meier methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>12 studies including, ~450 patients met inclusion criteria. The pooled mean time from ORIF to THA was approximately 5.2\u2009years (95% CI, 3.7\u20136.6). Between a \u00bc and \u2153 of patients required THA at longer follow-up. Implant survivorship was 95% at 5\u2009years and 85\u201390% at 10\u2009years, declining to 70\u201380% at 15\u2009years. Outcomes were worse in complex fracture patterns. Cementless fixation and modern porous ingrowth cups achieved survivorship similar to primary THA. Complications were more common than in primary THA, including dislocation (~10%), infection (~7%), and reoperation (~15%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In patients under 60, ORIF usually delays the need for THA by several years, but conversion is required in a substantial population. Conversion THA restores function and achieves acceptable survivorship, although it remains technically demanding, with higher complication rates than primary THA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11207000261472062","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T13:16:36Z","timestamp":1786540596000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acetabular fracture open reduction and internal fixation in patients under 60: time to total hip arthroplasty and implant survivorship: a systematic review"],"prefix":"10.1177","author":[{"given":"Manikandar Srinivas","family":"Cheruvu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2852-6824","authenticated-orcid":false,"given":"Sanjay","family":"Narayana Murthy","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Orthopaedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ford","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tosan","family":"Okoro","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niall","family":"Steele","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4509-1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.25259\/JMSR_78_2021"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B10.BJJ-2016-1261.R2"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.212.BJO-2021-0118.R1"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2309499020910666"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0909-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.5371\/hp.2024.36.1.37"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2023.11.027"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31824cf39e"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.09.007"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00871"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.02.026"},{"key":"e_1_3_2_14_2","first-page":"41","article-title":"Conversion to total hip arthroplasty in post-traumatic arthritis: short-term clinical outcomes","volume":"11","author":"Taheriazam A","year":"2019","unstructured":"Taheriazam A, Saeidinia A. Conversion to total hip arthroplasty in post-traumatic arthritis: short-term clinical outcomes. Orthop Res Rev 2019; 11: 41\u201346.","journal-title":"Orthop Res Rev"},{"key":"e_1_3_2_15_2","first-page":"51","article-title":"Acute versus delayed total hip arthroplasty after acetabular fracture fixation: a systematic review and meta-analysis","volume":"33","author":"Bates P","year":"2023","unstructured":"Bates P, Boulton C, Aqil A, et al. Acute versus delayed total hip arthroplasty after acetabular fracture fixation: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol 2023; 33: 51\u201360.","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200201000-00001"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200212000-00020"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjtee.2018.02.004"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000261472062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11207000261472062","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11207000261472062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T11:19:07Z","timestamp":1786792747000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11207000261472062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,12]]},"references-count":17,"alternative-id":["10.1177\/11207000261472062"],"URL":"https:\/\/doi.org\/10.1177\/11207000261472062","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,12]]},"article-number":"11207000261472062"}}