ArticleInternational orthopaedics2019
Outcomes of acetabular fractures in the elderly: a five year retrospective study of twenty seven patients with primary total hip replacement.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Total hip arthroplasty in acute acetabulum fractures: a systematic review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Treatment modalities and outcomes following acetabular fractures in the elderly: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Pooled it
- Effects of Different Surgical Procedures on the Therapeutic Effects, Prognosis, and Major Complications of Acetabular Fractures in the Elderly of China: A Systematic Review and Meta-Analysis.Computational and mathematical methods in medicine · 2022Pooled it
- Acute total hip replacement of acetabular fractures with cementless modular revision cups in patients older than 55 years: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Rehabilitation Protocols for Surgically Treated Acetabular Fractures in Older Adults: Current Practices and Outcomes.Journal of clinical medicine · 2025Review
- Epidemiological trends and mid-term to long-term outcomes of acetabular fractures in the elderly in China.International orthopaedics · 2024Article
- Total hip arthroplasty after acetabular fractures in the older population: timing of intervention may improve patient outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Delayed surgery is associated with adverse outcomes in patients with hip fracture undergoing hip arthroplasty.BMC musculoskeletal disorders · 2023Article
- Is Cemented Dual-Mobility Cup a Reliable Option in Primary and Revision Total Hip Arthroplasty: A Systematic Review.Journal of personalized medicine · 2022Review
- Predicting the Poor Clinical and Radiographic Outcomes after the Anatomical Reduction and Internal Fixation of Posterior Wall Acetabular Fractures: A Retrospective Analysis.Journal of clinical medicine · 2022Article
- Article
- Total hip arthroplasty for posttraumatic osteoarthritis secondary to acetabular fracture: An evidence based on 1,284 patients from 1970 to 2018.Frontiers in surgery · 2022Review
- Current indications for acute total hip arthroplasty in older patients with acetabular fracture: Evidence in 601 patients from 2002 to 2021.Frontiers in surgery · 2022Review
- Total hip arthroplasty after acetabular fracture surgery.International orthopaedics · 2021Article
- As an unusual traumatic presentation, acetabular fracture and concomitant ipsilateral intertrochanteric femur fracture: a retrospective case series of 18 patients.Journal of orthopaedic surgery and research · 2020Article
- Outcomes of combined hip procedure with dual mobility cup versus osteosynthesis for acetabular fractures in elderly patients: a retrospective observational cohort study of fifty one patients.International orthopaedics · 2020Observational
- Medial buttressing of the quadrilateral surface in acetabular and periprosthetic acetabular fractures.PloS one · 2020Article
- Early simultaneous bilateral total hip arthroplasty for the management of bilateral acetabular fracture in an elderly patient.Arthroplasty today · 2019Article
- Fixation plus acute arthroplasty for acetabular fracture in eldery patients.Journal of orthopaedicsArticle
- Total hip arthroplasty in acetabular fractures.Journal of clinical orthopaedics and traumaReview
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposesOpen reduction and internal fixation (ORIF) in osteoporotic acetabular fractures is quite difficult with high risk of implant failure. Total hip arthroplasty (THA) may be an effective option for treating acetabular fractures in appropriately selected patients, with immediate full weightbearing. The aim of the study was to evaluate the functional outcomes of primary THA for acetabular fractures in elderly patients.
methodsBetween 2010 and 2015, 27 elderly patients operated for acetabular fractures by primary THA were included. The surgical technique associated plate stabilization of both acetabular columns with THA using an acetabular reinforcement cross-plate. Mean age was 68.5 years (57-84) and mean ASA was 2 (1-3). The mean follow-up was four years.
resultsThe mean Harris score was 70.4 ± 23 (24-90), and the mean Postel-Merle Aubigné (PMA) score was 14.3 ± 4 (7-18). For 17 patients with rank of pre-operative Devane 4, the post-operative rank was unchanged (p < 0.05). Twenty patients (74%) were satisfied by the surgical treatment. Twenty post-operative complications (74%) were found. Two patients died during follow-up (7%).
conclusionsPrimary THA for acetabular fracture in the elderly population might be a good therapeutic option that allows return to the previous daily life activity. Three patients (11%) became bedridden, and four patient's skiers (15%) returned to skiing. However, this surgery is difficult and selection of elderly patients, i.e., with acetabular fractures who are expected to get a poor result with ORIF, i.e., fracture patterns with posterior wall lesion and marginal impaction, for primary THA in an experienced centre provides satisfactory clinical results.
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