Acetabular fractures in the elderly: treatment recommendations. Academic Article uri icon

Overview

abstract

  • Acetabular fractures in the elderly population are marked by a high degree of variability in terms of patient and fracture characteristics. Successful outcomes depend on application of highly individualized management principles by experienced teams. Reviewed are indications and outcomes associated with various management options, including closed treatment, open reduction internal fixation, and acute or staged total hip arthroplasty. Proper initial management choices are critical, as early failures and subsequent salvage surgery can be accompanied by significant morbidity. Clinical results after ORIF closely follow the quality of articular reduction and the ability to maintain a congruent reduction of the hip joint. Fracture characteristics predictive of anatomic articular reduction should be treated with ORIF. Fracture characteristics predictive of early post-traumatic arthritis should be treated with simultaneous ORIF and THA. Presented is one referral institution's treatment algorithm and management approach.

publication date

  • September 1, 2006

Identity

PubMed Central ID

  • PMC2488167

Scopus Document Identifier

  • 0027357716

Digital Object Identifier (DOI)

  • 10.1097/00005131-199306000-00006

PubMed ID

  • 18751831

Additional Document Info

volume

  • 2

issue

  • 2