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Irish journal of medical science
Jun, 2022;191 (3): 1223-1228.

Acetabular fractures in the elderly: modern challenges and the role of conservative management.

Kunal Mohan, James M Broderick, Hasnain Raza, Brendan O'Daly, Michael Leonard
Author Information
  1. Kunal Mohan: National Centre for Pelvic & Acetabular Surgery, Department of Trauma & Orthopaedics, Tallaght University Hospital, Dublin, D24NROA, Ireland. kmohan@tcd.ie. ORCID
  2. James M Broderick: National Centre for Pelvic & Acetabular Surgery, Department of Trauma & Orthopaedics, Tallaght University Hospital, Dublin, D24NROA, Ireland.
  3. Hasnain Raza: National Centre for Pelvic & Acetabular Surgery, Department of Trauma & Orthopaedics, Tallaght University Hospital, Dublin, D24NROA, Ireland.
  4. Brendan O'Daly: National Centre for Pelvic & Acetabular Surgery, Department of Trauma & Orthopaedics, Tallaght University Hospital, Dublin, D24NROA, Ireland.
  5. Michael Leonard: National Centre for Pelvic & Acetabular Surgery, Department of Trauma & Orthopaedics, Tallaght University Hospital, Dublin, D24NROA, Ireland.
PMID: 34282571 DOI: 10.1007/s11845-021-02711-2

Abstract

INTRODUCTION : The incidence of acetabular fractures in the elderly population is ever increasing. While management of acetabular fractures in young patients following high-energy trauma is well described, treatment of the elderly patient subgroup is complex and requires a unique, individualized approach. A variety of treatment strategies including operative and non-operative approaches exists to manage this vulnerable patient group. Conservative management of acetabular fractures in the elderly continues to play an important role in treatment of both stable fracture patterns and those medically unfit for surgery. AIM : This review assessing the current literature was undertaken with the purpose of summarising the challenges of management in this at-risk cohort as well as quantifying the role and outcomes following conservative management in the elderly.  CONCLUSION: Our recommendation is that conservative management of acetabular fractures in the elderly can be considered as a treatment option on a case-by-case basis accounting for patient, injury, and surgical factors. If it is to be pursued, we advise a multidisciplinary approach focused on early mobility, minimisation of risk and regular follow-up to optimise patient outcomes.

Keywords

Acetabular Challenges Conservative Elderly Fracture Outcomes

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MeSH Term

Acetabulum
Aged
Arthroplasty, Replacement, Hip
Conservative Treatment
Fracture Fixation, Internal
Fractures, Bone
Hip Fractures
Humans
Neck Injuries
Spinal Fractures
Treatment Outcome
Journal Article Review

Word Cloud

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