Acetabular Fractures in the Elderly
GV is a 76-year-old man who complains of severe left hip pain after a fall from standing height. He was transferred to the emergency department by EMS. On presentation, he demonstrates a GCS of 15 and denies any loss of consciousness. On primary survey, his airway is patent, and he is hemodynamically stable. On secondary survey, he demonstrates severe pain with passive range of the left hip. His secondary survey is otherwise negative.
KeywordsNonoperative management Acute total hip arthroplasty and fixation Limited open reduction and percutaneous fixation Operative fixation of acetabulum ORIF/acute total hip arthroplasty Delayed THA
- 13.Laflamme GY, Herbert-Davies J, Rouleau D, Benoit B, Luduc S. Internal fixation of osteopenic acetabular fractures involving the quadrilateral plate. Injury. 2010. doi: 10.1016/j.injury.2010.11.060.
- 17.Starr AJ, Jones AL, Reinert CM, Borer DS. Preliminary results and complications following limited open reduction and percutaneous screw fixation of displaced fractures of the acetabulum. Injury. 2001;32 Suppl 1:SA45–50.Google Scholar
- 18.Gary JL, Lefaivre KA, Gerold F, Hay MT, Reinert CM, Starr AJ. Survivorship of the native hip joint after percutaneous repair of acetabular fractures in the elderly. Injury. 2010. doi: 10.1016/j.injury.2010.08.035.
- 31.Ryan SP, Manson TT, LeBrun CT, Nascone JW, Sciadini MF, Castillo RC, O’Toole RV. Functional outcomes of nonoperative treatment of geriatric acetabular fractures meeting operative criteria. Read at the Annual Meeting of the Orthopaedic Trauma Association; 2011 Oct 13–15; San Antonio, TX.Google Scholar