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. 2023 Nov;33(6):1093-1099.
doi: 10.1177/11207000221145437. Epub 2022 Dec 21.

Mid-term results of the treatment of complex acetabular fractures with combined acute fixation and total hip replacement in the older patient

James W Bassett  1 , Owen J Diamond  1 , David J Spence  1 , Anthony J Ward  1 , Mehool R Acharya  1 , Tim Js Chesser  1
Affiliations

Mid-term results of the treatment of complex acetabular fractures with combined acute fixation and total hip replacement in the older patient

James W Bassett et al. Hip Int. 2023 Nov.

Abstract

Introduction: The incidence of acetabular fractures in older patients is increasing. The management of these patients is evolving due to the recognition of risks associated with prolonged immobility with conservative treatment.

Materials and methods: Consecutive patients undergoing fixation and total hip replacement (THR) for displaced acetabular fractures undergoing single operation with acetabular fixation and THR were identified. Outcomes were assessed using radiographs, clinical notes, Oxford Hip Score and EuroQol-5L.

Results: 77 patients were identified with 51 completing outcome scores. Mean age 68 years at time of injury. Mean follow-up 5 (2-12) years, OHS 40, EQ-5D 0.78. Revision surgery performed in 7 patients (9%).

Discussion: Acute fixation combined with THR for acetabular fractures in the elderly patient, offers good functional outcomes and a low complication rate in the mid-term.

Keywords: Acetabular fracture; acute THR; fix and replace.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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