A growing problem: acetabular fractures in the elderly and the combined hip procedure

The Orthopedic Clinics of North America
Leonard T BullerFernando E Vilella

Abstract

Acetabular fractures in the elderly are most frequently the result of low-energy trauma and present unique management challenges to orthopedic surgeons. Evaluation and treatment should be performed in a multidisciplinary fashion with early involvement of internal medicine subspecialists and geriatricians. Distinct fracture patterns and pre-existing osteoarthritis and osteoporosis necessitate careful preoperative planning. The role of total hip arthroplasty should also be considered when surgical treatment is indicated. The outcomes of acetabular fractures in the elderly have improved, but complications remain higher and results less satisfactory than in younger individuals. The lack of randomized controlled trials has limited the ability to establish an evidence-based treatment algorithm.

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Citations

Jun 12, 2016·Seminars in Roentgenology·Claire K SandstromKen F Linnau
May 24, 2017·SICOT-J·Marc HanschenPeter Biberthaler
Sep 10, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Frank LiawJustin Lim
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Jul 21, 2021·Irish Journal of Medical Science·Kunal MohanMichael Leonard
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Feb 6, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Elias MelhemPomme Jouffroy

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