HSS Journal

, Volume 2, Issue 2, pp 161–171

Acetabular Fractures in the Elderly: Treatment Recommendations

Authors

  • Eric Pagenkopf
    • Orthopaedic Trauma ServiceHospital for Special Surgery
  • Andrew Grose
    • Orthopaedic Trauma ServiceHospital for Special Surgery
  • George Partal
    • Orthopaedic Trauma ServiceHospital for Special Surgery
    • Orthopaedic Trauma ServiceHospital for Special Surgery
    • Orthopaedic Trauma Service, Department of Orthopaedic SurgeryWeill Medical College of Cornell University/ Hospital for Special Surgery
Original Article

DOI: 10.1007/s11420-006-9010-7

Cite this article as:
Pagenkopf, E., Grose, A., Partal, G. et al. HSS Jrnl (2006) 2: 161. doi:10.1007/s11420-006-9010-7

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.

Key words

acetabulumfractureelderlyosteoporosistotal hip arthroplasty

Copyright information

© Hospital for Special Surgery 2006