TY  - JOUR
A1  - Riemenschneider, Julia
A1  - Vollrath, Jan Tilmann
A1  - Mühlenfeld, Nils
A1  - Frank, Johannes
A1  - Marzi, Ingo
A1  - Janko, Maren Carina
T1  - Acetabular fractures treatment needs in the elderly and nonagenarians
T2  - EFORT open reviews
N2  - Different treatment options for acetabular fractures in the elderly and nonagenarians exist; a consistent guideline has not been established, yet. The purpose of this study is to give an overview of how those fractures can be handled and compares two different surgical treatment methods.

A total of 89 patients ≥ 18 years between 2016 and 2021 with acetabular fractures in our department received a surgical intervention with plate fixation via the Stoppa approach or a total hip arthroplasty with a Burch–Schneider ring and integrated cup. 60 patients ≥ 65 were compared in two groups, 29 patients between 65 and 79 and 31 patients ≥ 80. For comparison, data on operation times, hospitalization, complications during operation and hospital stay, blood loss and postoperative mobilization were collected.

Characteristics could be found for indications for operative osteosynthesis or endoprosthetics based on the X-ray analysis. There was a tendency to treat simple fractures with osteosynthesis. Patients between 65 and 79 with an osteosynthesis had benefits in almost every comparison. Patients ≥ 80 with a plate fixation had advantages in the categories of postoperative complications, blood loss and transfusion of erythrocyte concentrates. Statistical significant differences were noticed in both groups regarding the operation time. Patients between 65 and 79 with osteosynthesis had significant benefits for postoperative complications, hospitalization, number of blood transfusions and postoperative mobilization.

Finding the best supportive treatment option is difficult, and decision-making must respect fracture patterns and individual risk factors. This study shows that plate fixation via the Stoppa approach has some benefits.
KW  - acetabular fracture
KW  - Stoppa approach
KW  - MUTARS® RS Cup System
Y1  - 2022
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62787
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-627874
SN  - 2058-5241
VL  - 7
IS  - 6
SP  - 433
EP  - 445
PB  - The British Editorial Society of Bone & Joint Surgery
CY  - London
ER  -