Nonoperative Treatment of the Geriatric Acetabular Fracture
The treatment of displaced acetabular fractures in the geriatric population is controversial. Each form of operative and nonoperative treatment has its advantages and disadvantages. The treatment plan should be individualized, based on patient factors and fracture characteristics. Because of the lack of current data on functional outcomes of nonoperative treatment, one cannot assume that results of nonoperative treatment in this patient population are poor. In fact, available evidence suggests that, among infirm elderly patients with acetabular fractures, nonoperative treatment may be associated with functional outcomes comparable to those seen in healthier patients who undergo surgery, with similar mortality and lesser need for late conversion to total hip arthroplasty. Future prospective studies on treatment of these injuries in this patient population should include a nonoperative group because the results may not be as suboptimal as once thought.
KeywordsAcetabular fracture Nonoperative Elderly Geriatric Functional outcomes
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