Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of Russia2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics42010.21823/2311-2905-2011-0-2-37-43CHOICE OF SURGICAL APPROACH FOR ACETABULAR COMPONENT’S IMPLANTATION USING CURRENT CLASSIFICATION FOR ARTHRITIS FOLLOWING ACETABULAR FRACTURETikhilovR. M.fake@neicon.ruShubnyakovI. I.fake@neicon.ruChiladzeI. T.fake@neicon.ruPlievD. G.fake@neicon.ruShorustamovM. T.marinanazarovets@gmail.comArtyukhV. A.fake@neicon.ruAmbrosenkovA. V.fake@neicon.ruBliznyukovV. V.fake@neicon.ruMyasoedovA. A.fake@neicon.ru3006201117237430511201605112016Copyright © ,<p>Degenerative-dystrophic changes in hip after treatment of acetabular fracture, over the time, develops about in 60% of affected people. In such cases, total hip replacement is used. Existing classifications (for example AO or Letournel) are good for fracture treatment, but not for arthritis following acetabular fracture. The group of patients, with post traumatic arthritis, is heterogeneous with severity of post traumatic anatomic changes. Basis for surgical approach, could be current classification for post traumatic changes – taking into account features of anatomic functional changes in hip and the bone defects of acetabulum. In this article is demonstrated X-ray and clinical basing for current classification.</p>acetabular fracturehip arthritiship arthroplastyacetabular componentпереломы вертлужной впадиныостеоартроз тазобедренного суставаэндопротезированиеверлужный компонент[1. Артюх, В.А. Разработка усовершенствованных подходов к хирургическому лечению больных с переломами вертлужной впадины и их последствиями : автореф. дис. … канд. мед. наук / Артюх В.А. – СПб., 2007. – 24 с.][2. Буачидзе, О.Ш. Тотальное замещение тазобедренного сустава при тяжелых последствиях его повреждений / О.Ш. Буачидзе [и др.] // Вестн. травматологии и ортопедии им. Н.Н. Приорова. – 2004.][– № 2. – С. 13–17.][3. Кутепов, С.М. Лечение переломов таза с повреждением вертлужной впадины / С.М. Кутепов [и др.] // Травматология и ортопедия России. – 1995. – № 3. – С. 13–17.][4. Руководство по эндопротезированию тазобедренного сустава / под ред. Тихилова Р.М., Шаповалова В.М. – СПб., 2008. – 380 с.][5. Mears, D.C. Primary total hip arthroplsaty after acetabular fracture / D.C. Mears, J.H. Velyvis // J. Bone Joint Surg. – 2000. – Vol. 82-A, N 9. – P. 1328–1354.][6. Wright, R. Acetabular fractures: Long-term follow-up of open reduction and internal fixation / R. Wright, K. Barret // J.Orthop. Trauma. – 1994. – Vol 8, N 5. – P. 397–403.][7. Huo, M.H. Total hip replacement done without cement after acetabular fractures – a 4 to 8 year follow up study / M.H. Huo, B.D. Solberg// Arthroplasty. – 1999. – Vol. 14, N 7. – P. 827–831.][8. Jimenez, M.L. Total hip replacement after acetabular fracture / M.L. Jimenez, M. Tile // Orthop. Clin. North Am. – 1997. – Vol. 28, N 3. – P. 435–446.][9. Ranawat, A. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture / A. Ranawat [et al.] // Arthroplasty. – 2009. – Vol. 24, N 5. – P. 759–767.][10. Lewallen, D.G. Socket fixation after failed acetabular fracture fixation / D.G. Lewallen// 32nd Sci. Meet. – San Francisco, 2004. – P. 78–83.][11. Moed, B.R. Functional outcomes of acetabular fractures / B.R. Moed, K.I. Gruson // J. Bone Joint Surg. – 2003. – Vol. 85-A, N 10. – P. 1879–1883.][12. Letournel, E. Acetabular fractures: classification and management / E. Letournel // Clin. Orthop. – 1980. – N 151. – P. 81–106.][13. Ridder, V.A. Results of 75 consecutive patients with an acetabular fracture / V.A. Ridder //Clin. Orthop. – 1994. – N 305. – P. 53–57.]