Acetabulum fractures in elderly patients:A review

作     者：Ashwani Soni Ravi Gupta Ramesh Sen Ashwani Soni;Ravi Gupta;Ramesh Sen

作者机构：Department of OrthopaedicsGoverrnment Medical College and HospitalSector-32Chandigarh160030India Department of OrthopaedicsMax Super Speciality HospitalSahibzada Ajt Singh NagarMohali160062India 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2022年第25卷第6期

页      面：331-335页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Acetabulum Elderly Fracture Osteoporosis Hip Arthroplasty 

摘      要：Fractures of the acetabulum in elderly patients were often caused by low energy trauma.Fractures involving anterior column are more common and often associated with impaction and comminution.Osteoporosis further complicates the management.Percutaneous fracture fixation has low morbidity but it is a technically demanding procedure.Open reduction and fracture fixation is done with or without simultaneous total hip replacement.Delayed total hip replacement is considered in posttraumatic arthritis patients.Patients with minimal displaced fractures,associated both-column fractures with secondary congruence of joint and patients who are medically unfit for surgery can be managed non-operatively.Whatever be the method of management,these elderly patients should be mobilised as early as possible.