The incidence of acetabular fractures in the elderly is recently becoming common. Acetabular fractures in this age range are more demanding, regarding fracture patterns, poor bone quality, patient status and potential comorbidities. Therefore it is necessary to determine the ideal treatment that should allow patients to obtain early mobilization and prevention of common complications. Different treatment options include conservative management, percutaneous minimally invasive procedures, open reduction and fixation (ORIF) and primary total hip arthroplasty (THA). The purpose of this paper is to review these options in fractured elderly patients.
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