Fixation plus acute arthroplasty for acetabular fracture in eldery patients.

Objective: in elderly patients reduction and fixation of acetabular fractures showed poor outcomes in fracture patterns where cartilage comminution/impaction and/or femoral head dislocation are present; acute arthroplasty with standard uncemented hemispherical cups and posterior plating has been recently proposed, we report on its safety and effectiveness.

Methods: we used this technique to manage 67 displaced acetabular fracture but both column in patients older than 65 years old.

Results: fractures of posterior column and/or wall with severe cartilage involvement may be treated safely with acute THA.

Conclusions: Good results in complex fracture patterns may also be achieved.