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. 2024 Jul 4:54:102490.
doi: 10.1016/j.jcot.2024.102490. eCollection 2024 Jul.

Acetabulum fractures in the elderly, reconstruction or replacement ?

Robin E Peter  1
Affiliations

Acetabulum fractures in the elderly, reconstruction or replacement ?

Robin E Peter. J Clin Orthop Trauma. .

Erratum in

No abstract available

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Figures

Fig. 1
Fig. 1
Fractures of the acetabulum involving a posterior displacement of the femoral head and wall are known to be associated significantly worse long-term outcomes in young as well as older patients. Best outcomes are observed after medially displaced fracture types in all age groups. Anterior wall fractures, although very uncommon are also linked to poor long-term outcomes.
Fig. 2
Fig. 2
In a consecutive cohort of 255 acetabulum fractures treated surgically within 3 weeks, the age distribution has changed over the years. Until 2004, younger patients were most frequent. After 2005, we observed an increase in the number of patients older than 60.
Fig. 3
Fig. 3
In the author's series of 255 acetabulum fractures treated surgically within 3 weeks, 45 patients were aged 60 or older. The distribution of their fracture patterns, according to the Judet-Letournel classification clearly differs from the distribution observed in younger patients.
Fig. 4
Fig. 4
A and B: 64 Years old patient presenting with a Both Columns fracture. The fracture was reduced and fixed using a Stryker ® Supra-Pectineal reconstruction plate.
Fig. 5
Fig. 5
A-B-C: This 78 old active lady was violently hit, as a pedestrian, by a cyclist. On admission, patient presented with multiple wounds, commotio cerebri with loss of consciousness, open elbow fracture and a displaced anterior column fracture of her right acetabulum. Patient developed a duodenal ulcer at day 4 and ORIF of her acetabulum was delayed until day 9. ORIF was performed through a 10 cm Pfannenstiel incision and Stoppa approach. A Suprapectineal anatomic plate was used for reduction and fixation. Figures A&B At one year, patient was active and symptom free Fig. 5C.
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References

    1. Letournel E. The treatment of acetabular fractures through the ilioinguinal approach. Clin Orthop. 1993;(292):62–76. - PubMed
    1. Matta J.M. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am. 1996;78(11):1632–1645. - PubMed
    1. Mears D.C., Velyvis J.H., Chang C.P. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop Relat Res. 2003;407:173–186. - PubMed
    1. Tannast M., Najibi S., Matta J.M. Two to twenty-year survivorship of the hip in 810 patients with operatively treated acetabular fractures. J Bone Joint Surg Am. 2012;94(17):1559–1567. - PubMed
    1. Butterwick D., Papp S., Gofton W., Liew A., Beaule P.E. Acetabular fractures in the elderly: evaluation and management. J Bone Joint Surg Am. 2015;97(9):758–768. - PubMed

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