Abstract
Acetabulum fractures, often resulting from high-energy trauma, increasingly affect both younger and older adults, impacting hip joint function and quality of life. Acute total hip arthroplasty (THA) offers a critical solution, especially beneficial for elderly patients or those with poor bone quality. This case series presents six patients with varying medical histories, all experiencing significant hip-related injuries necessitating total hip arthroplasty (THA). Cases range from complex acetabular fractures due to falls or motor vehicle accidents to complications following previous surgical interventions. Surgical techniques adapted to each patient's specific fracture patterns and medical conditions, employing approaches such as the Extended Smith-Peterson, Kocher-Langenbeck, and modified Smith-Petersen. Outcomes were generally positive, with patients reporting significant pain relief and restored mobility.