Fragility Fractures of the Acetabulum: Current Concepts for Improving Patients' Outcomes.
Acetabular fracture
Elderly
Fragility fracture
Hip fracture
Mortality
Open reduction and internal fixation
Osteoporosis
Percutaneous fixation
Plate
Total hip arthroplasty
Journal
Indian journal of orthopaedics
ISSN: 0019-5413
Titre abrégé: Indian J Orthop
Pays: Switzerland
ID NLM: 0137736
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
received:
18
07
2021
accepted:
04
05
2022
entrez:
11
7
2022
pubmed:
12
7
2022
medline:
12
7
2022
Statut:
epublish
Résumé
The incidence of fragility fractures of the acetabulum (FFA) is constantly increasing. Generally, these fractures are related to a fall on the greater trochanter involving the anterior column. The management of FFA is extremely difficult considering both patients' comorbidities and poor bone quality. Both non-operative and several operative treatment protocols are available, and the choice among them is still ambiguous. The proposed surgical techniques for FFA [namely open reduction and internal fixation (ORIF), percutaneous fixation and total hip arthroplasty (THA)] are associated with a high complication rate. The treatment with the higher early mortality is the ORIF + THA, while the one with the lowest is the non-operative. However, at longer follow-up, this difference dreadfully change is becoming the opposite. Frequently ORIF, percutaneous fixation, and non-operative treatment need a subsequent re-operation through a THA. This latter could be extremely difficult, because of poor bone quality, acetabular mal union/non-union, bone gaps and hardware retention. However, the outcomes of each of the proposed treatment are mostly poor and controverted; therefore, a comprehensive patient evaluation and an accurate fracture description are required to appropriately manage acetabular fracture in the elderly.
Identifiants
pubmed: 35813545
doi: 10.1007/s43465-022-00653-0
pii: 653
pmc: PMC9232661
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1139-1149Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
Conflict of InterestAuthors declare that they had no conflict of interest.
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