Survivorship of the native hip joint after percutaneous repair of acetabular fractures in the elderly

Gary, Joshua L.; Lefaivre, Kelly A.; Gerold, Frank P.; Hay, Michael; Reinert, Charles M.; Starr, Adam J.

doi:10.1016/j.injury.2010.08.035

Cited by 70 publications

(41 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Initial assessment suggested that 61 studies might be relevant. These articles were reviewed independently by two orthopaedic surgeons (JSD and PSP) who both agreed that 16 [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] met the inclusion criteria. A further two studies 23,24 were identified on a secondary search of the bibliographies of the remaining articles.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Acetabular fractures in patients aged > 55 years

Daurka

Pastides

Lewis

et al. 2014

The Bone & Joint Journal

144

View full text Add to dashboard Cite

The increasing prevalence of osteoporosis in an ageing population has contributed to older patients becoming the fastest-growing group presenting with acetabular fractures. We performed a systematic review of the literature involving a number of databases to identify studies that included the treatment outcome of acetabular fractures in patients aged > 55 years. An initial search identified 61 studies; after exclusion by two independent reviewers, 15 studies were considered to meet the inclusion criteria. All were case series. The mean Coleman score for methodological quality assessment was 37 (25 to 49). There were 415 fractures in 414 patients. Pooled analysis revealed a mean age of 71.8 years (55 to 96) and a mean follow-up of 47.3 months (1 to 210). In seven studies the results of open reduction and internal fixation (ORIF) were presented: this was combined with simultaneous hip replacement (THR) in four, and one study had a mixture of these strategies. The results of percutaneous fixation were presented in two studies, and a single study revealed the results of non-operative treatment. With fixation of the fracture, the overall mean rate of conversion to THR was 23.1% (0% to 45.5%). The mean rate of non-fatal complications was 39.8% (0% to 64%), and the mean mortality rate was 19.1% (5% to 50%) at a mean of 64 months (95% confidence interval 59.4 to 68.6; range 12 to 143). Further data dealing with the classification of the fracture, the surgical approach used, operative time, blood loss, functional and radiological outcomes were also analysed. This study highlights that, of the many forms of treatment available for this group of patients, there is a trend to higher complication rates and the need for further surgery compared with the results of the treatment of acetabular fractures in younger patients.

show abstract

Section: Methodsmentioning

confidence: 99%

“…The mean score was 37 (25 to 49). In all, 12 studies included patients who were exclusively > 55 years, [8][9][10][11][13][14][15][16][17]20,23,24 and in a further three these data could be extracted. 12,18,19 Statistical analysis.…”

Section: Methodsmentioning

confidence: 99%

Acetabular fractures in patients aged > 55 years

Daurka

Pastides

Lewis

et al. 2014

The Bone & Joint Journal

144

View full text Add to dashboard Cite

show abstract

“…Minimally invasive acetabulum surgery has an ever expanding role, especially in elderly patients [9]. Posterior column screws are powerful in their ability to stabilise fractures that otherwise had to be addressed by plates and through more extensile approaches or dissection.…”

Section: Discussionmentioning

confidence: 99%

The “Down the PC” view – A new tool to assess screw positioning in the posterior column of the acetabulum

Osterhoff

Amiri

Unno

et al. 2015

Injury

View full text Add to dashboard Cite

“…Strong osteosynthesis is vital, and even if initial fixation is obtained, hip arthroplasty components may subside as a result of subsequent instability at the fracture site (24,35,39). Percutaneous reduction and fixation has been advocated using large cannulated 6.5 mm or 7.3 mm screws (40,41). This technique requires considerable expertise, but in the elderly may have a role to allow sufficient stability to allow early mobilisation (7).…”

Section: Treatment Options For Fix and Replacementioning

confidence: 99%

Fix and replace; an emerging paradigm for treating acetabular fractures

Murphy

Carrothers

2016

ccmbm

View full text Add to dashboard Cite

SummaryAlthough technically challenging even for the experienced surgeon, simultaneous open reduction and internal fixation (ORIF) of acetabular fracture and total hip replacement (THR) have some potential advantages over the more traditional treatment options in specific patient subgroups; theoretically allowing immediate weight bearing and faster rehabilitation, reducing the cost of inpatient stay, and reducing the risks of early and late local complications associated with standard treatment for this type of injury. We review the evolution of the indications and techniques, outline the surgical challenges, and discuss implant options and outcomes for this treatment paradigm.

show abstract

Survivorship of the native hip joint after percutaneous repair of acetabular fractures in the elderly

Cited by 70 publications

References 13 publications

Acetabular fractures in patients aged > 55 years

Acetabular fractures in patients aged > 55 years

The “Down the PC” view – A new tool to assess screw positioning in the posterior column of the acetabulum

Fix and replace; an emerging paradigm for treating acetabular fractures

Contact Info

Product

Resources

About