Acetabular fractures in the elderly population: internal fixation combined with acute total hip arthroplasty

Authors

  • Goncalo Modesto Department of Orthopedic Surgery, Centro Hospitalar e Universitário de Coimbra, ULS Coimbra, Portugal
  • Catarina Corte-Real Department of Orthopedic Surgery, Centro Hospitalar e Universitário de Coimbra, ULS Coimbra, Portugal
  • João Boavida Department of Orthopedic Surgery, Centro Hospitalar e Universitário de Coimbra, ULS Coimbra, Portugal
  • António P. Lopes Department of Orthopedic Surgery, Centro Hospitalar e Universitário de Coimbra, ULS Coimbra, Portugal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20253431

Keywords:

Acetabular fractures, Elderly, Fracture hip, Open reduction internal fixation, Total hip arthroplasty

Abstract

The incidence of acetabular fractures in the elderly population is increasing, primarily due to pre-existing osteoporosis and low-energy trauma. Nevertheless, the optimal treatment algorithm remains a subject of debate. This case report details the treatment of a 77-year-old male patient with an acetabular fracture involving both columns and dome, treated with open reduction and internal fixation plus concomitant total hip arthroplasty.

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References

Goyal T, Singh G, Kumar Tripathy S, Schuh A, Veerappa LA, Kumar Sen R. Acetabulum fractures in elderly: A systematic review of fracture pattern and treatment. J Clin Orthop Trauma. 2020;11:9890-1001. DOI: https://doi.org/10.1016/j.jcot.2020.09.008

Rommens PM, Schwab R, Handrich K, Arand C, Wagner D, Hofmann A. Open reduction and internal fixation of acetabular fractures in patients of old age. Int Orthop. 2020;44:2123-30. DOI: https://doi.org/10.1007/s00264-020-04672-0

Butterwick D, Papp S, Gofton W, Liew A, Beaule PE. Acetabular fractures in the elderly: evaluation and management. J Bone Joint Surg Am. 2015;97:758-68. DOI: https://doi.org/10.2106/JBJS.N.01037

Zha GC, Sun JY, Dong SJ. Predictors of clinical outcomes after surgical treatment of displaced acetabular fractures in the elderly. J Orthop Res. 2013;31:588-95. DOI: https://doi.org/10.1002/jor.22279

Boelch SP, Jordan MC, Meffert RH, Jansen H. Comparison of open reduction and internal fixation and primary total hip replacement for osteoporotic acetabular fractures: a retrospective clinical study. Int Orthop. 2017;41:1831-7. DOI: https://doi.org/10.1007/s00264-016-3260-x

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Published

2025-10-27

How to Cite

Modesto, G., Corte-Real, C., Boavida, J., & P. Lopes, A. (2025). Acetabular fractures in the elderly population: internal fixation combined with acute total hip arthroplasty . International Journal of Research in Orthopaedics, 11(6), 1561–1563. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20253431