2022
DOI: 10.1007/s00264-022-05535-6
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Outcomes of acetabular fractures treated with acute fix and replace versus open reduction and internal fixation in elderly population: a multicentric retrospective study

Abstract: Purpose The optimal operative treatment for displaced acetabular fractures in elderly population is still object of debate. Acute fix and replace procedure, the so called “combined hip procedure” (CHP), was introduced because of the poor results of the open reduction and internal fixation (ORIF) alone. The aim of the study is to compare clinical outcomes of CHP and ORIF alone for the treatment of acetabular fractures in elderly patients. Methods This is th… Show more

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Cited by 19 publications
(24 citation statements)
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“…Anatomic reduction and stable fixation are crucial to restore joint congruity, avoid poor functional results, and reduce the risk of late cartilage degeneration [ 17 ]. Posterior wall fractures are often associated with comminution and marginal impaction, so that stable fixation of the small periarticular fragments with screws and plates is difficult and the risk of joint penetration or additional surgery-related comminution is high [ 18 ].…”
Section: Discussionmentioning
confidence: 99%
“…Anatomic reduction and stable fixation are crucial to restore joint congruity, avoid poor functional results, and reduce the risk of late cartilage degeneration [ 17 ]. Posterior wall fractures are often associated with comminution and marginal impaction, so that stable fixation of the small periarticular fragments with screws and plates is difficult and the risk of joint penetration or additional surgery-related comminution is high [ 18 ].…”
Section: Discussionmentioning
confidence: 99%
“…This study is among few 26,28,30 directly comparing FaR with ORIF for geriatric acetabular fractures and is the first study to directly compare acute outcomes between groups.…”
Section: Discussionmentioning
confidence: 99%
“…A number of other studies have directly compared FaR with ORIF for geriatric acetabular fractures. 26,28,30 Borg et al 26 reported on 27 geriatric patients with acetabular fractures treated with FaR (n = 13) versus ORIF (n = 14) with a minimum two-year follow-up. The authors reported fewer reoperations in the FaR compared with the ORIF group with no relevant differences in patient-reported outcomes.…”
Section: Discussionmentioning
confidence: 99%
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