Original Article

HSS Journal

, Volume 2, Issue 2, pp 161-171

First online:

Acetabular Fractures in the Elderly: Treatment Recommendations

  • Eric PagenkopfAffiliated withOrthopaedic Trauma Service, Hospital for Special Surgery
  • , Andrew GroseAffiliated withOrthopaedic Trauma Service, Hospital for Special Surgery
  • , George PartalAffiliated withOrthopaedic Trauma Service, Hospital for Special Surgery
  • , David L. HelfetAffiliated withOrthopaedic Trauma Service, Hospital for Special SurgeryOrthopaedic Trauma Service, Department of Orthopaedic Surgery, Weill Medical College of Cornell University/ Hospital for Special Surgery Email author 

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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

acetabulum fracture elderly osteoporosis total hip arthroplasty