Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Nov;25(6):331-335.
doi: 10.1016/j.cjtee.2021.12.004. Epub 2021 Dec 14.

Acetabulum fractures in elderly patients: A review

Ashwani Soni  1 , Ravi Gupta  2 , Ramesh Sen  3
Affiliations
Review

Acetabulum fractures in elderly patients: A review

Ashwani Soni et al. Chin J Traumatol. 2022 Nov.

Abstract

Fractures of the acetabulum in elderly patients were often caused by low energy trauma. Fractures involving anterior column are more common and often associated with impaction and comminution. Osteoporosis further complicates the management. Percutaneous fracture fixation has low morbidity but it is a technically demanding procedure. Open reduction and fracture fixation is done with or without simultaneous total hip replacement. Delayed total hip replacement is considered in posttraumatic arthritis patients. Patients with minimal displaced fractures, associated both-column fractures with secondary congruence of joint and patients who are medically unfit for surgery can be managed non-operatively. Whatever be the method of management, these elderly patients should be mobilised as early as possible.

Keywords: Acetabulum; Arthroplasty; Elderly; Fracture; Hip; Osteoporosis.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Ferguson T.A., Patel R., Bhandari M., et al. Fractures of the acetabulum in patients aged 60 years and older: an epidemiological and radiological study. J Bone Joint Surg Br. 2010;92:250–257. doi: 10.1302/0301-620X.92B2.22488. - DOI - PubMed
    1. Firoozabadi R., Cross W.W., Krieg J.C., et al. Acetabular fractures in the senior population- epidemiology, mortality and treatments. Arch Bone Jt Surg. 2017;5:96–102. - PMC - PubMed
    1. Tornkvist H., Schatzker J. Acetabular fractures in the elderly: an easily missed diagnosis. J Orthop Trauma. 1993;7:233–235. doi: 10.1097/00005131-199306000-00006. - DOI - PubMed
    1. Iwata T., Nozawa S., Dohjima T., et al. The value of T1-weighted coronal MRI scans in diagnosing occult fracture of the hip. J Bone Joint Surg Br. 2012;94:969–973. doi: 10.1302/0301-620X.94B7.28693. - DOI - PubMed
    1. Daurka J.S., Pastides P.S., Lewis A., et al. Acetabular fractures in patients aged 55 > years: a systematic review of the literature. Bone Joint Lett J. 2014;96-B:157–163. doi: 10.1302/0301-620X.96B2.32979. - DOI - PubMed