The incidence of acetabular fractures in the elderly population is increasing. Treatment with staged or acute total hip arthroplasty (THA) is occasionally required. The role of acute THA however, remains controversial. The purpose of our study was to assess the outcomes of a subgroup of elderly patients who underwent early simultaneous open reduction and internal fixation (ORIF) and primary THA for displaced acetabular fractures. 86 patients underwent ORIF for displaced acetabular fractures at The Alfred Hospital, Melbourne between August 2007 and August 2009. Eight of these patients underwent early simultaneous ORIF and primary THA. Mean age was 79 years. Mean time between injury and surgery was 4 days. Mean time of follow-up was 19 months. There were 3 both-column fractures, 2 anterior column, 1 posterior wall, 1 transverse with posterior wall and 1 T-shaped. Two patients had an associated neck of femur fracture and two had an impaction fracture of the femoral head. The Harris and Oxford hip scores were used to assess clinical outcome. Radiographs were analysed for component loosening.Introduction
Materials and Methods
