Nonunion of acetabular fractures are uncommon, and their treatment can be a rather demanding procedure. Acute total hip arthroplasty could be a possible treatment choice, especially when there is a femoral head arthritis. We report a case of transverse acetabular fracture nonunion treated by a cementless hemispherical press-fit cup and autologous structural bone graft. At 10 years follow-up, the graft was integrated, the cup was stable, and the patient was completely recovered.
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