SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024
Indications, complications, and clinical outcomes of fixation and acute total hip arthroplasty for the treatment of acetabular fractures: A systematic review.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- Differentiating Sciatica from Hip Osteoarthritis: Diagnostic Challenges and the Role of the Athena Sign.Diagnostics (Basel, Switzerland) · 2026Review
- Demographic, surgical, and radiologic determinants of patient-reported outcomes, hospitalization, and return to work after acetabular fracture ORIF: a tertiary trauma center experience with a minimum two-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Acute Total Hip Arthroplasty with or Without Internal Fixation for Acetabular Fractures in the Elderly: A Case Series.Medicina (Kaunas, Lithuania) · 2026Article
- 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
- Total Hip Replacement after Acetabular Fracture Fixation: Surgical Challenges, Techniques, and Outcomes.Journal of orthopaedic case reports · 2025Article
- Evaluating the Outcomes of Surgical Hip Dislocation for Femoral Head Trauma: A Systematic Review.Cureus · 2025Review
- Anxiety and depression status in geriatric patients undergoing total hip arthroplasty: Correlation with postoperative pain and risk factors.World journal of psychiatry · 2025Article
- Secondary surgery and mortality following primary treatment for acetabular fractures - an observational study from Swedish national quality registers.Journal of orthopaedic surgery and research · 2025Observational
- Risk factors for post-traumatic osteoarthritis and subsequent total hip arthroplasty in patients with acetabular fractures.BMC musculoskeletal disorders · 2025Article
- Reconstruction of unfixable comminuted posterior wall acetabular fractures with autologous bone graft: A systematic review.Journal of orthopaedics · 2025Review
- Preventing complications during acetabular fracture surgery, a review.Journal of clinical orthopaedics and trauma · 2025Review
- Revision Rates for Acute Versus Delayed Total Hip Arthroplasty After Acetabular Fracture.The Iowa orthopaedic journal · 2025Article
- Radiological Outcome of the Gradual Increase in Skeletal Traction in Acetabular Fracture.Cureus · 2025Article
- The effects of prophylactic administration of tranexamic acid on the operative time and the amount of blood transfused during open fixation of pelvis and acetabulum fractures.Journal of orthopaedic surgery and research · 2024Article
- 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
- Management of geriatric acetabular fractures: Contemporary treatment strategies.World journal of clinical cases · 2024Article
Corrections and comments
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Authors and funding
9 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAcetabular fracture fixation can be challenging, especially in the elderly. Open reduction and internal fixation (ORIF) alone may not allow for early weight bearing and is associated with a high rate of secondary osteoarthritis; therefore, a combined hip procedure (CHP) or ORIF with acute total hip arthroplasty, may be beneficial in this population. The objective of this study was to perform a systematic review of all reported cases of CHP.
methodsPubMed, Embase, Scopus, and Cochrane databases were searched for studies analyzing acetabular fractures in the elderly managed with a combined hip procedure (CHP). The research was performed following the PRISMA guidelines. The included studies' methodological quality was evaluated using the MINORS score. The present study was registered on PROSPERO.
resultsEleven clinical studies were included in the final analysis. The mean age was 74.4 (63.2-78) years. Low-energy trauma was the most common mechanism of injury (64%). The most prevalent fracture pattern was the anterior column and posterior hemitransverse (ACPHT) (30.6%). The Kocher-Langenbeck approach was preferred for ORIF of posterior fractures and hip arthroplasty. The ilioinguinal approach and modified Stoppa were generally used for anterior fractures. The overall complication rate was 12.2%, and hip dislocation was the most frequent cause of reoperation (4.4%). The average Harris Hip Score reported postoperatively was 81.6 points, which was considered "good."
conclusionsCHP is a safe treatment for elderly acetabular fractures with an acceptable complication and reoperation rate that results in good clinical outcomes. LEVEL OF EVIDENCE: Level of evidence IV.
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