Acute total hip arthroplasty for older patients with acetabular fractures: A meta-analysis

Jauregui, Julio J.; Weir, Tristan B.; Chen, Jin F.; Johnson, Aaron J.; Sardesai, Neil; Maheshwari, Aditya V.; Manson, Theodore T.

doi:10.1016/j.jcot.2020.01.003

Cited by 24 publications

(16 citation statements)

References 48 publications

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Section: Discussionmentioning

confidence: 99%

“…Acute or delayed THA is another possible alternative technique for fixation of an acetabular fracture. However, studies for acute THA following an acetabular fracture demonstrate a high rate of complications including deep vein thrombosis, aseptic loosening, heterotopic ossification, and infection [ 26 , 28 ]. While acute THA has the advantage of avoiding a second surgery, the same study reported better functional outcomes for delayed THA than for acute THA following an acetabular fracture [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…While ORIF is the treatment of choice for acetabular fractures in young patients, for elderly patients, no definitive guideline has been established for the treatment of an acetabular fracture [26]. In 1 study, O'Toole et al documented a 1-year mortality rate as high as 25% after ORIF for an acetabular fracture in elderly patients older than 60 years and a 28% conversion rate to arthroplasty at 2.5 years [27].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Gunshot Wound to the Hip Resulting in a Femoral Head and Acetabulum Fracture Treated With Open Reduction and Internal Fixation and Bipolar Hemiarthroplasty

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Gunshot Wound to the Hip Resulting in a Femoral Head and Acetabulum Fracture Treated With Open Reduction and Internal Fixation and Bipolar Hemiarthroplasty

et al. 2022

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“…Recently, Jauregui et al. 50 did a meta-analysis of acute total hip replacement in patients with age of 60 years or more having acetabular fractures. The authors evaluated 21 studies with 430 acetabular fractures with mean follow-up of 44 months.…”

Section: Acute Total Hip Arthroplastymentioning

confidence: 99%

Acetabulum fractures in elderly patients: A review

Soni

Gupta

Sen

2022

Chinese Journal of Traumatology

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“…With the development of surgical equipment, instruments, and technology, treatment for acetabular fracture has considerably changed. Therefore, some authors believe that acute total hip arthroplasty (THA) may be more beneficial than ORIF and should be strongly considered in older patients with acetabular fractures (8,9).…”

Section: Introductionmentioning

confidence: 99%

Current indications for acute total hip arthroplasty in older patients with acetabular fracture: Evidence in 601 patients from 2002 to 2021

et al. 2023

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PurposeOlder patient population with acetabular fractures is increasing rapidly, requiring enhanced recovery. Acute total hip arthroplasty (THA) is a good option for these patients, and it is becoming increasing popular. However, acute THA has different indications in different studies. Therefore, a systematic review is needed to assess and comprehend the indications for acute THA in older patients.MethodsA systematic literature review was conducted to identify a retrospective series or prospective studies in older patients (>60 years) with acetabular fractures. The search timeline was from database construction till December 2021; PubMed, Embase, and Cochrane Library databases were searched. Two trained professional reviewers independently read the full text of documents that met the inclusion criteria and extracted information on the specific methods used and indication information based on the research design.ResultsIn total, there were 601 patients with acetabular fractures aged >60 years from 33 studies were obtained. Twenty-eight studies reported that THA was a feasible treatment option for acetabular fractures in geriatric patients with good outcome. The primary indications were dome impaction, irreducible articular comminution, femoral head injury, and pre-existing osteoarthritis or avascular necrosis. The most common patterns were anterior column and posterior hemitransverse, posterior wall, both columns, and T-type.ConclusionAcute THA is an effective treatment strategy for older patients with acetabular fractures and should be considered when the abovementioned indications are observed on preoperative images. (PROSPERO: CRD42022329555).

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Acute total hip arthroplasty for older patients with acetabular fractures: A meta-analysis

Cited by 24 publications

References 48 publications

Gunshot Wound to the Hip Resulting in a Femoral Head and Acetabulum Fracture Treated With Open Reduction and Internal Fixation and Bipolar Hemiarthroplasty

Gunshot Wound to the Hip Resulting in a Femoral Head and Acetabulum Fracture Treated With Open Reduction and Internal Fixation and Bipolar Hemiarthroplasty

Acetabulum fractures in elderly patients: A review

Current indications for acute total hip arthroplasty in older patients with acetabular fracture: Evidence in 601 patients from 2002 to 2021

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