ArticleInternational orthopaedics2022
Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study.
Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Risk factors for acetabular fracture treatment failure: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Indications, complications, and clinical outcomes of fixation and acute total hip arthroplasty for the treatment of acetabular fractures: A systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Patients with an acetabular fracture treated with acute total hip arthroplasty and additional fixation: a cohort study with functional and radiological follow-ups.Acta orthopaedica · 2026Article
- Male incidence rates outpacing females: results from a nationwide analysis on acetabular fractures in Germany.Archives of orthopaedic and trauma surgery · 2026Article
- Open Reduction and Internal Fixation (ORIF) for Acetabular Fractures in the Elderly: A Systematic Review and Meta-Analysis.The archives of bone and joint surgery · 2026Review
- [Posterior Wall Reconstruction Using Iliac Strut Graft in Posterior Acetabular Wall Fracture].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
- Comparison of clinical efficacy of Ganz approach and K-L approach in treatment of Pipkin type IV femoral head fracture.BMC surgery · 2025Observational
- Return to sport after acetabular and pelvic ring fractures in amateur athletes: A retrospective study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Rehabilitation Protocols for Surgically Treated Acetabular Fractures in Older Adults: Current Practices and Outcomes.Journal of clinical medicine · 2025Review
- Mid-term outcomes of acetabular fractures treated with acute fix and replace versus ORIF in the elderly: a multicentric study with minimum 5-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Fix and replace for acetabular fractures: a decade of outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- Bibliometric Analysis of Dual Mobility Total Hip Arthroplasty.Hip & pelvis · 2025Article
- Comparative study of the 3D morphological differences in associated both-column acetabular fractures between elderly and young adults.Archives of orthopaedic and trauma surgery · 2025Article
- Revision Rates for Acute Versus Delayed Total Hip Arthroplasty After Acetabular Fracture.The Iowa orthopaedic journal · 2025Article
- Acute total hip arthroplasty with a highly-porous multi-holes cup in elderly patients after traumatic acetabular fracture: A case series and literature review.Trauma case reports · 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
- Evaluating Treatment Outcomes for Pelvic Insufficiency Fractures: A Systematic Review.Journal of clinical medicine · 2024Review
- Fragility Fractures in End-Stage Chronic Kidney Disease (CKD) Population: Patient-Related and CKD-Related Factor Analysis-A Single-Center Experience.Journal of clinical medicine · 2024Article
- Forgotten joint score associated with prosthesis weight in cementless total hip arthroplasty: a prospective clinical study.Frontiers in surgery · 2024Article
- Modified one third tubular plate (spring plate) augmented with reconstruction plates for treatment of comminuted posterior wall acetabular fractures, Short to midterm outcomes of 24 patients.Orthopedic reviews · 2024Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe optimal operative treatment for displaced acetabular fractures in elderly population is still object of debate. Acute fix and replace procedure, the so called "combined hip procedure" (CHP), was introduced because of the poor results of the open reduction and internal fixation (ORIF) alone. The aim of the study is to compare clinical outcomes of CHP and ORIF alone for the treatment of acetabular fractures in elderly patients.
methodsThis is the largest multicentric retrospective analytical study, with a case-control design on the issue. Hospital records and clinical notes were reviewed to collect demographic, peri-operative, and clinical data.
resultsA total of 45 patients met the inclusion criteria: 24 patients entered the CHP group whereas 21 entered the ORIF control group. The mean age was 69.5 + - 1.12 years in the ORIF group and 73.4 + - 1.84 in the control group. The most frequent traumatic mechanism was the fall from same level in both groups (37.5% CHP; 42.9% ORIF). Operating time was significantly lower in the CHP group compared to the ORIF group (207 + - 11.0 ORIF; 175 + - 9.16 CHP; p < 0.05). Moreover, full weight-bearing was allowed significantly earlier in the CHP group compared to ORIF alone (37.3 + - 1.59 ORIF; 32.5 + - 1.69 CHP; p < 0.05). Among the clinician-completed scores, the HHS at three months was higher in the CHP group (66.3 + - 1.83 ORIF;73.6 + - 2.09 CHP; p < 0.05). All the other clinical outcomes were similar in both study groups.
conclusionCHP is desirable treatment option in elderly patients with acetabular fracture when there are poor expected outcomes in terms of joint survival with ORIF alone.
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