ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Acute total hip replacement of acetabular fractures with cementless modular revision cups in patients older than 55 years: a retrospective cohort study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- 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
- Comparison of in-hospital complications following acute total hip arthroplasty versus open reduction and internal fixation in patients aged 50 years and older with acetabular fractures.Bone & joint open · 2026Article
- Total Hip Replacement after Acetabular Fracture Fixation: Surgical Challenges, Techniques, and Outcomes.Journal of orthopaedic case reports · 2025Article
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8 authors.
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Abstract
purposeTo compare early postoperative results for the management of acetabular fractures using open reduction and internal fixation versus acute total hip replacement with a cementless modular cup in patients older than 55 years.
methodsThis was a retrospective cohort study conducted at a Level I trauma center between April 2019 and March 2024, including 36 consecutive patients aged ≥ 55 years with displaced acetabular fractures treated by a single senior pelvic surgeon using open reduction and internal fixation (n = 20), stand-alone total hip replacement (n = 9), or a planned two-stage combined hip procedure (n = 7). The primary outcome included Harris Hip Score at 6 months, Secondary outcomes included postoperative complications, unplanned reoperation, and radiographic implant assessment.
resultsAt six months, both replacement groups showed significantly better functional outcomes (mean Harris hip scores of 83 and 82) compared to the fixation-only group (mean score of 57; p < 0.001). All reoperations (4/20) occurred in the fixation group, while no reoperation was required in the replacement groups. Radiographic evaluation confirmed stable implant fixation in all arthroplasty cases, without signs of loosening or dislocation.
conclusionAccording to our treatment algorithm, acute total hip replacement using a modular revision cup with an iliac peg, with or without plate osteosynthesis, offers the advantage of early full weight-bearing and promising functional outcomes in the management of complex acetabular fractures. These results support the integration of acute total hip replacement into structured decision-making protocols especially for elderly patients.
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