title: A growing problem: acetabular fractures in the elderly and the combined hip procedure.
abstract: Acetabular fractures in the elderly are most frequently the result of low-energy trauma and present unique management challenges to orthopedic surgeons. Evaluation and treatment should be performed in a multidisciplinary fashion with early involvement of internal medicine subspecialists and geriatricians. Distinct fracture patterns and pre-existing osteoarthritis and osteoporosis necessitate careful preoperative planning. The role of total hip arthroplasty should also be considered when surgical treatment is indicated. The outcomes of acetabular fractures in the elderly have improved, but complications remain higher and results less satisfactory than in younger individuals. The lack of randomized controlled trials has limited the ability to establish an evidence-based treatment algorithm.
authors.affiliation: Department of Orthopaedic Surgery, Jackson Memorial Hospital, University of Miami, 1400 Northwest 12th Avenue, Miami, FL 33136, USA; Department of Rehabilitation, Jackson Memorial Hospital, University of Miami, 1400 Northwest 12th Avenue, Miami, FL 33136, USA.
authors.forename: Leonard T
authors.initials: LT
authors.lastname: Buller
authors.affiliation: Department of Orthopaedic Surgery, Jackson Memorial Hospital, University of Miami, 1400 Northwest 12th Avenue, Miami, FL 33136, USA; Department of Rehabilitation, Jackson Memorial Hospital, University of Miami, 1400 Northwest 12th Avenue, Miami, FL 33136, USA.
authors.forename: Charles M
authors.initials: CM
authors.lastname: Lawrie
authors.affiliation: Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Ryder Trauma Center, Jackson Memorial Hospital, University of Miami, 1400 Northwest 12th Avenue, Miami, FL 33136, USA. Electronic address: fvilella@med.miami.edu.
authors.forename: Fernando E
authors.initials: FE
authors.lastname: Vilella
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000077:Acetabulum / Q000293:injuries*; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D014943:Global Health; D006801:Humans; D015994:Incidence; D015207:Osteoarthritis, Hip / Q000150:complications / Q000453:epidemiology / Q000601:surgery
keywords: Acetabular fracture; Combined hip procedure; Elderly; Total hip arthroplasty