Current Geriatrics Reports

, Volume 6, Issue 1, pp 1–8 | Cite as

A Review of Total Hip Replacement Following Acetabular Fractures

Geriatric Orthopedics (E Meinberg, Section Editor)
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Part of the following topical collections:
  1. Topical Collection on Geriatric Orthopedics

Abstract

Purpose of Review

The incidence of geriatric acetabular fractures is increasing with our aging population. Geriatric acetabular fractures offer unique challenges to treating physicians due to the complexity of fracture patterns, osteoporotic bone, and pre-existing joint arthritis. Controversy remains regarding the optimal reconstructive treatment of these injuries, and both acute and delayed total hip arthroplasty options exist in appropriate settings for these patients.

Recent Findings

While early experience with acute THA led to poor clinical outcomes, several newer studies report improvements in survivorship and in clinical outcomes (HHS scores ranging from 87-93). Cementless acetabular components and porous metal cups show improved outcomes and survival rates (87–88% in short-midterm follow up) in delayed THA.

Summary

In our review of recent literature within the past 5 years, we have found that modern surgical techniques and improvements in cementless acetabular fixation show promising results and improved clinical and radiographic outcomes for the treatment of acetabular fractures in older patients.

Keywords

Acetabular fracture Geriatric Acute total hip arthroplasty Delayed total hip arthroplasty 

Notes

Compliance with Ethical Standards

Conflict of Interest

Simon Mears and Kwan Park declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA

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