ArticleJournal of clinical orthopaedics and trauma
Acetabulum fractures in elderly: A systematic review of fracture pattern and treatment.
Article in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Is non-operative management of acetabular fracture a viable option for older patients? A systematic review of the literature for indication, treatments, complications and outcome.Acta bio-medica : Atenei Parmensis · 2022Pooled it
- The phenotype of pelvic and acetabular fractures in adults aged 50 and older: a national database analysis in the Netherlands.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- High- vs. low-energy acetabular fractures: a propensity-matched analysis of outcomes and complications in four hundred and sixty four patients.International orthopaedics · 2026Article
- Isolated screw fixation of posterior wall fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Does non-anatomic reduction and fixation of acetabular fractures affect the post-operative quality of life?-a single center, five years, retrospective analytical study.Musculoskeletal surgery · 2026Article
- Impact of Age and Sex on Anatomical Variations of the Infra-acetabular Screw Corridor: An Imaging Study.Clinics in orthopedic surgery · 2025Article
- Pelvis/acetabulum: management of geriatric injuries.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Comparative Efficacy of Retrograde Pubic Ramus Intramedullary Nails and Percutaneous Cannulated Screws in Treating Anterior Pelvic Ring Fractures: A Retrospective Cohort Study.Current medical science · 2025Article
- Sexual and Urinary Dysfunction Following Isolated Acetabulum Fractures: A Systematic Review of the Literature.Journal of clinical medicine · 2025Review
- Integrative surgical approach for complex transverse-posterior wall fractures of the acetabulum: A case series of 21 patients evaluating mid-term outcomes.Journal of clinical orthopaedics and trauma · 2025Article
- Impact of Patient-Specific Hip Joint Geometry on the Morphology of Acetabular Fractures.Journal of clinical medicine · 2024Article
- Treatment Trends and Epidemiologic Changes in Acetabular Fracture Management over the Course of 10 Years: An Analysis Based on 2853 Patients as Treated by the German Pelvic Multicenter Study Group.Journal of clinical medicine · 2024Article
- Similar Medium-Term Revision Rates Following Acute Total Hip Arthroplasty Versus Open Reduction and Internal Fixation for Acetabular Fractures in the Elderly.The Journal of the American Academy of Orthopaedic Surgeons · 2024Article
- Early Stabilization Does Not Increase Complication Rates in Acetabular Fractures of the Elderly: A Retrospective Analysis from the German Pelvis Registry.Journal of clinical medicine · 2023Article
- Article
- Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study.International orthopaedics · 2022Article
- Biomechanical comparison of acetabular fracture fixation with stand-alone THA or in combination with plating.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Outcomes of Primary Total Knee Arthroplasty in Fractures Around the Knee in the Elderly: A Systematic Review and Pooled Analysis of 212 Patients Across 11 Studies.Indian journal of orthopaedics · 2022Review
- What's New in Geriatric Acetabular Fractures.Hawai'i journal of health & social welfare · 2022Review
- Pubic root fractures are commonly misread as anterior column fractures by radiologists: Single-institution study from a level 1 trauma center.Journal of clinical orthopaedics and trauma · 2021Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAcetabulum fractures are being increasingly seen with low impact injuries in elderly patients. This article aimed to study systematically literature on geriatric acetabulum fractures. Objectives of this systematic review were to study (1) demography of patients, common mechanisms of injury and types of fracture patterns commonly seen in elderly patients, (2) treatment used for these fractures in literature and (3) mortality rates in elderly with these fractures.
methodsSystematic search was carried out in May 2020 using predefined search strategy for all studies published in the English language in last 20 years. Literature search and data abstraction was done by two independent reviewers.
resultsAfter screening of all abstracts, a total of 48 studies were included in the systematic review. In total there were 7876 geriatric patients with acetabulum fractures. Mean age of the patients was 72.47 years. There were 4841 males (61.5%). Fall from low heights was the most common mechanism of injury, present in 47.12% patients followed by motor vehicular accidents in 28.73%. Most common fracture pattern was both column fracture, seen in 19.03% patients, followed by anterior column and posterior hemitransverse fracture in 17.23%, anterior column fractures in 17.13%, and posterior wall fractures in 13.46% patients. Out of total 5160 patients for whom details of treatment were available, 2199 (42.62%) were given non-operative treatment, 2285 (44.28%) were treated with ORIF of acetabulum fracture, 161 (3.12%) were treated with percutaneous fixation and 515 (9.98%) were treated with primary THA. Gull sign, femoral head injury and posterior wall comminution were associated with poorer prognosis after ORIF and may form an indication for a primary THA.
conclusionLiterature on treatment of geriatric acetabulum fractures is not enough to draw any definite conclusions. There is limited evidence from current literature that surgery could be considered a safe treatment option for displaced acetabulum fractures in elderly. Primary THA can provide early mobility and reduce chances of resurgery in fracture patterns where restoration of joint surface may not be possible.
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