Open Reduction and Internal Fixation of Anterior Fracture Patterns through a Limited Ilioinguinal Approach

  • David L. HelfetEmail author
  • Gele B. Moloney


Acetabular fractures in the elderly continue to pose a major public health issue and a treatment challenge for orthopedic surgeons. Controversy remains regarding the role of nonoperative management, minimally invasive techniques, open reduction internal fixation, and acute total hip arthroplasty. The goals of acetabular fracture treatment in the elderly population should not be different from their younger cohorts and should include rapid mobilization and attempts to return the patient to their baseline level of function. These goals, however, can be complicated by medical comorbidities, preexisting degenerative joint disease, and poorer bone quality. This chapter reviews the current evidence with the aim of providing further guidance to aid decision-making. Irrespective of treatment choice, details including options, planning, technical tricks, etc., are outlined.


Acetabular fractures Elderly Management Operative indications Open reduction and internal fixation Surgical planning Technical tricks 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Orthopaedic Trauma Service and Center for Hip Preservation Hospital for Special Surgery and New York Presbyterian Hospital Weill Cornell MedicineNew YorkUSA
  2. 2.Division of Orthopaedic TraumaUniversity of Pittsburgh Medical CenterPittsburghUSA

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