HSS Journal

, Volume 2, Issue 2, pp 161–171 | Cite as

Acetabular Fractures in the Elderly: Treatment Recommendations

  • Eric Pagenkopf
  • Andrew Grose
  • George Partal
  • David L. Helfet
Original Article

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

acetabulum fracture elderly osteoporosis total hip arthroplasty 

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Copyright information

© Hospital for Special Surgery 2006

Authors and Affiliations

  • Eric Pagenkopf
    • 1
  • Andrew Grose
    • 1
  • George Partal
    • 1
  • David L. Helfet
    • 1
    • 2
  1. 1.Orthopaedic Trauma ServiceHospital for Special SurgeryNew YorkUSA
  2. 2.Orthopaedic Trauma Service, Department of Orthopaedic SurgeryWeill Medical College of Cornell University/ Hospital for Special SurgeryNew YorkUSA

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