Management of acetabular fractures in the geriatric patient

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Management of acetabular fractures in the geriatric patient

INTRODUCTION Open reduction and internal fixation (ORIF) is standard care for most acetabular fractures. With increasing numbers of acetabular fractures in the elderly, the risk of revision surgery and conversion to total hip replacement (THR) is increasing. Alarmingly, about 20-25% of acetabular fractures in the elderly following ORIF needed revision and conversion to delayed THR. METHODS Re...

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Acetabular Fractures in the Senior Population– Epidemiology, Mortality and Treatments

Background:Management of acetabular fractures in the senior population can be one of the most challenging injuries tomanage. Furthermore, treating surgeons have a paucity of information to guide the treatment in this patient population.The purpose of this study was to determine: (1) demographic and epidemiologic data, (2) mortality rates for nonoperativecompared to operative management at diffe...

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Non-operative management of acetabular fractures

To assess the stability of the hip after acetabular fracture, dynamic fluoroscopic stress views were taken of 41 acetabular fractures that met the criteria for non-operative management. These included roof arcs of 45°, a subchondral CT arc of 10 mm, displacement of less than 50% of the posterior wall, and congruence on the AP and Judet views of the hip. There were three unstable hips which were...

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Acetabular Fractures - A Review of their Management

Acetabular fractures present with a bimodal distribution, as is often associated with traumatic injuries presenting to trauma and orthopaedic surgeons. It is an injury that mandates a multidisciplinary team approach as it is associated with injuries to another organ system and/or the lower extremities. The implementation of Advanced Trauma and Life Support (ATLS) principals has led to significa...

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Initial Preoperative Management of Geriatric Hip Fractures

Hip fractures are a common emergency among the geriatric population and often requires immediate hospitalization for proper assessment. More than 90% of the time, hip fractures are suffered by individuals older than 65 and are usually precipitated predominantly by falls. Current studies show that the average individual over 65 years falls at least once a year, and roughly 1 out of every 4 of th...

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ژورنال

عنوان ژورنال: SICOT-J

سال: 2017

ISSN: 2426-8887

DOI: 10.1051/sicotj/2017026