ReviewArchives of orthopaedic and trauma surgery2024
Acetabular fractures in geriatric patients: epidemiology, pathomechanism, classification and treatment options.
Review in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Developing a core outcome set for acetabular fractures: a systematic review (part I).Systematic reviews · 2025Pooled it
- A novel stacked double-plate fixation with quadrilateral surface buttress screws for osteoporotic acetabular fractures in elderly patients: a prospective pilot case series study evaluating clinical and radiological outcomes.BMC musculoskeletal disorders · 2026Article
- Management and outcome of displaced acetabular fractures in the oldest-old: a retrospective analysis of orif and acute total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2026Article
- Acetabular superior wall fractures: a distinct acetabular fracture entity.Archives of orthopaedic and trauma surgery · 2026Article
- The pararectus approach in acetabular fracture fixation: evidence of reproducibility and learnability.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Navigation-Assisted Percutaneous Fixation of an Anterior Column and Posterior Hemitransverse Fracture in an Elderly Patient: A Case Report.Journal of orthopaedic case reports · 2026Article
- Acute cemented total hip arthroplasty combined with open reduction and internal fixation for elderly acetabular fractures: a two-center retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Acute Total Hip Arthroplasty with or Without Internal Fixation for Acetabular Fractures in the Elderly: A Case Series.Medicina (Kaunas, Lithuania) · 2026Article
- Acetabular fractures adjacent to heterotopic renal allografts: report of two cases managed with delayed total hip replacement.Trauma case reports · 2026Article
- Safe passage analysis for both column screw fixation technique in posterior column acetabular fractures.Scientific reports · 2025Article
- 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
- Patients Aged 60 or Older with Surgically Treated Periprosthetic Acetabular Fractures Are at Similar Risk of Death at One Year Compared to Native Acetabular Fractures.Journal of clinical medicine · 2025Article
- Pelvis/acetabulum: management of geriatric injuries.OTA international : the open access journal of orthopaedic trauma · 2025Article
- A novel anatomical integrated acetabular plate for acetabular fracture involving posterior wall/column: a biomechanical study.Frontiers in bioengineering and biotechnology · 2025Article
- Radiological Outcome of the Gradual Increase in Skeletal Traction in Acetabular Fracture.Cureus · 2025Article
- Treatment of Geriatric Acetabular Fractures Using the Modified Stoppa Approach: A Review Article of Technique, Tips, and Pitfalls.Journal of clinical medicine · 2024Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The incidence of geriatric acetabular fractures has shown a sharp increase in the last decades. The majority of patients are male, which is different to other osteoporotic fractures. The typical pathomechanism generally differs from acetabular fractures in young patients regarding both the direction and the amount of force transmission to the acetabulum via the femoral head. Geriatric fractures very frequently involve anterior structures of the acetabulum, while the posterior wall is less frequently involved. The anterior column and posterior hemitransverse (ACPHT) fracture is the most common fracture type. Superomedial dome impactions (gull sign) are a frequent feature in geriatric acetabular fractures as well. Treatment options include nonoperative treatment, internal fixation and arthoplasty. Nonoperative treatment includes rapid mobilisation and full weighbearing under analgesia and is advisable in non- or minimally displaced fractures without subluxation of the hip joint and without positive gull sign. Open reduction and internal fixation of geriatric acetabular fractures leads to good or excellent results, if anatomic reduction is achieved intraoperatively and loss of reduction does not occur postoperatively. Primary arthroplasty of geriatric acetabular fractures is a treatment option, which does not require anatomic reduction, allows for immediate postoperative full weightbearing and obviates several complications, which are associated with internal fixation. The major issue is the fixation of the acetabular cup in the fractured bone. Primary cups, reinforcement rings or a combination of arthroplasty and internal fixation may be applied depending on the acetabular fracture type.
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