{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T21:45:57Z","timestamp":1788990357693,"version":"build-2803163510"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T00:00:00Z","timestamp":1618099200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T00:00:00Z","timestamp":1618099200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100011852","name":"Paracelsus Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011852","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Open reduction and internal fixation is considered the gold standard of treatment for displaced acetabular fractures in younger patients. For elderly patients with osteoporotic bone quality, however, primary total hip arthroplasty (THA) with the advantage of immediate postoperative mobilization might be an option. The purpose of this study was to evaluate the clinical and radiological outcomes of surgical treatment of displaced osteoporotic acetabular fractures using the acetabular roof reinforcement plate (ARRP) combined with THA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>Between 2009 and 2019, 84 patients were operated using the ARRP combined with THA. Inclusion criteria were displaced osteoporotic fractures of the acetabulum with or without previous hemi- or total hip arthroplasty, age above 65\u00a0years, and pre-injury ability to walk at least with use of a walking frame. Of the 84 patients, 59 could be followed up after 6\u00a0months clinically and radiographically. Forty-nine (83%) were primary fractures and 10 (17%) periprosthetic acetabular fractures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean age was 80.5\u00a0years (range 65\u201398\u00a0years). The average time from injury to surgery was 8.5\u00a0days (range 1\u201328). Mean time of surgery was 167\u00a0min (range 100\u2013303\u00a0min). Immediate postoperative full weight bearing (FWB) was allowed for 51 patients (86%). At the 6-month follow-up, all 59 patients except one showed bony healing and incorporation of the ARRP. One case developed a non-union of the anterior column. No disruption, breakage or loosening of the ARRP was seen. Additional CT scans performed in 18 patients confirmed bony healing. Twenty-six patients (44%) had regained their pre-injury level of mobility. Complications requiring revision surgery occurred in 8 patients. Five of them were suffering from a prosthetic head dislocation, one from infection, one from hematoma and one from a heterotopic ossification.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The ARRP has proven to provide sufficient primary stability to allow for immediate FWB in most cases and represents a valuable option for the surgical management of displaced acetabular fractures in this challenging patient group.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-021-03829-9","type":"journal-article","created":{"date-parts":[[2021,4,11]],"date-time":"2021-04-11T05:02:42Z","timestamp":1618117362000},"page":"1835-1845","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The acetabular roof reinforcement plate for the treatment of displaced acetabular fractures in the elderly: results in 59 patients"],"prefix":"10.1007","volume":"142","author":[{"given":"Dietmar","family":"Krappinger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herbert","family":"Resch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Lindtner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian","family":"Mitterer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4626-8179","authenticated-orcid":false,"given":"Thomas","family":"Freude","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,11]]},"reference":[{"issue":"8","key":"3829_CR1","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1016\/j.injury.2010.04.010","volume":"41","author":"BG Ochs","year":"2010","unstructured":"Ochs BG, Marintschev I, Hoyer H, Rolauffs B, Culemann U, Pohlemann T, Stuby FM (2010) Changes in the treatment of acetabular fractures over 15 years: analysis of 1266 cases treated by the German Pelvic Multicentre Study Group (DAO\/DGU). Injury 41(8):839\u2013851","journal-title":"Injury"},{"issue":"10","key":"3829_CR2","doi-asserted-by":"publisher","first-page":"2157","DOI":"10.1016\/j.injury.2017.08.003","volume":"48","author":"PP Rinne","year":"2017","unstructured":"Rinne PP, Laitinen MK, Huttunen T, Kannus P, Mattila VM (2017) The incidence and trauma mechanisms of acetabular fractures: a nationwide study in Finland between 1997 and 2014. Injury 48(10):2157\u20132161","journal-title":"Injury"},{"issue":"2","key":"3829_CR3","doi-asserted-by":"publisher","first-page":"128","DOI":"10.5435\/00124635-199903000-00006","volume":"7","author":"DC Mears","year":"1999","unstructured":"Mears DC (1999) Surgical treatment of acetabular fractures in elderly patients with osteoporotic bone. J Am Acad Orthop Surg 7(2):128\u2013141","journal-title":"J Am Acad Orthop Surg"},{"issue":"5","key":"3829_CR4","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1055\/s-0042-106476","volume":"154","author":"A Sch\u00e4ffler","year":"2016","unstructured":"Sch\u00e4ffler A, Freude T, Stuby F, H\u00f6ntzsch D, Veltkamp J, St\u00f6cke U, K\u00f6nig B (2016) Surgical treatment of acetabulum fractures with a new acetabulum butterfly plate. Z Orthop Unfall 154(5):488\u2013492","journal-title":"Z Orthop Unfall"},{"issue":"9","key":"3829_CR5","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1097\/00005131-200310000-00005","volume":"17","author":"JO Anglen","year":"2003","unstructured":"Anglen JO, Burd TA, Hendricks KJ, Harrison P (2003) The \u201cgullsign\u201d: a harbinger of failure for internal fixation of geriatric acetabular fractures. J Orthop Trauma 17(9):625\u2013634","journal-title":"J Orthop Trauma"},{"issue":"11","key":"3829_CR6","doi-asserted-by":"publisher","first-page":"1632","DOI":"10.2106\/00004623-199611000-00002","volume":"78","author":"JM Matta","year":"1996","unstructured":"Matta JM (1996) Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Jt Surg Am 78(11):1632\u20131645","journal-title":"J Bone Jt Surg Am"},{"key":"3829_CR7","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1097\/00003086-200302000-00026","volume":"407","author":"DC Mears","year":"2003","unstructured":"Mears DC, Velyvis JH, Chang CP (2003) Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop Relat Res 407:173\u2013186","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"3829_CR8","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1302\/0301-620X.92B2.22488","volume":"92","author":"TA Ferguson","year":"2010","unstructured":"Ferguson TA, Patel R, Bhandari M, Matta JM (2010) Fractures of the acetabulum in patients aged 60 years and older: an epidemiological and radiological study. J Bone Jt Surg Br 92(2):250\u2013257","journal-title":"J Bone Jt Surg Br"},{"key":"3829_CR9","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1302\/0301-620X.101B4.BJJ-2018-1027.R2","volume":"101-B","author":"T Borg","year":"2019","unstructured":"Borg T, Hernefalk B, Hailer NP (2019) Acute total hip arthroplasty combined with internal fixation for displaced acetabular fractures in the elderly. Bone Jt J 101-B:478\u2013483","journal-title":"Bone Jt J"},{"issue":"6","key":"3829_CR10","doi-asserted-by":"publisher","first-page":"834","DOI":"10.1302\/0301-620X.99B6.BJJ-2016-1013.R1","volume":"99-B","author":"J Clarke-Jenssen","year":"2017","unstructured":"Clarke-Jenssen J, Roise O, Storeggen SAO, Madsen JE (2017) Long-term survival and risk factors for failure of the native hip joint after operatively treated displaced acetabular fractures. Bone Jt J 99-B(6):834\u2013840","journal-title":"Bone Jt J"},{"issue":"3","key":"3829_CR11","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1080\/17453674.2019.1597325","volume":"90","author":"T Lont","year":"2019","unstructured":"Lont T, Nieminen J, Aleksi R, Pakarinen TK, Pajam\u00e4ki I, Eskelinen A, Laitinen MK (2019) Total hip arthroplasty, combined with a reinforcement ring and posterior column plating for acetabular fractures in elderly patients: good outcome in 34 patients. Acta Orthop 90(3):275\u2013280","journal-title":"Acta Orthop"},{"issue":"17","key":"3829_CR12","doi-asserted-by":"publisher","first-page":"1559","DOI":"10.2106\/JBJS.K.00444","volume":"94","author":"M Tannast","year":"2012","unstructured":"Tannast M, Najibi S, Matta JM (2012) Two to twenty-year survivorship of the hip in 810 patients with operatively treated acetabular fractures. J Bone Jt Surg Am 94(17):1559\u20131567","journal-title":"J Bone Jt Surg Am"},{"issue":"11","key":"3829_CR13","doi-asserted-by":"publisher","first-page":"3375","DOI":"10.1007\/s11999-014-3467-3","volume":"472","author":"M Rickman","year":"2014","unstructured":"Rickman M, Young J, Trompeter A, Pearce R, Hamilton M (2014) Managing acetabular fractures in the elderly with fixation and primary arthroplasty: aiming for early weightbearing. Clin Orthop Relat Res 472(11):3375\u20133382","journal-title":"Clin Orthop Relat Res"},{"issue":"9","key":"3829_CR14","doi-asserted-by":"publisher","first-page":"1831","DOI":"10.1007\/s00264-016-3260-x","volume":"41","author":"SP Boelch","year":"2017","unstructured":"Boelch SP, Jordan MC, Meffert RH, Jansen H (2017) Comparison of open reduction and internal fixation and primary total hip replacement for osteoporotic acetabular fractures: a retrospective clinical study. Int Orthop 41(9):1831\u20131837","journal-title":"Int Orthop"},{"issue":"6","key":"3829_CR15","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1302\/0301-620X.88B6.17342","volume":"88","author":"HJ Kreder","year":"2006","unstructured":"Kreder HJ, Rozen N, Borkhoff CM, Laflamme YG, McKee MD, Schemitsch EH, Stephen DJ (2006) Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall. J Bone Jt Surg Br 88(6):776\u2013782","journal-title":"J Bone Jt Surg Br"},{"issue":"1","key":"3829_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2106\/00004623-200201000-00001","volume":"84-A","author":"DC Mears","year":"2002","unstructured":"Mears DC, Velyvis JH (2002) Acute total hip arthroplasty for selected displaced acetabular fractures: two to twelve-year results. J Bone Jt Surg Am 84-A(1):1\u20139","journal-title":"J Bone Jt Surg Am"},{"issue":"12","key":"3829_CR17","doi-asserted-by":"publisher","first-page":"1122","DOI":"10.1007\/s00113-011-2064-0","volume":"114","author":"F Saxer","year":"2011","unstructured":"Saxer F, Studer P, Jakob M (2011) Open stabilization and primary hip arthroplasty in geriatric patients with acetabular fractures: combination of minimally invasive techniques. Unfallchirurg 114(12):1122\u20131127","journal-title":"Unfallchirurg"},{"issue":"3","key":"3829_CR18","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1097\/00005131-200303000-00007","volume":"17","author":"J Tidermark","year":"2003","unstructured":"Tidermark J, Blomfeldt R, Ponzer S, Soderqvist A, Tornkvist H (2003) Primary total hip arthroplasty with a Burch\u2013Schneider antiprotrusion cage and autologous bone grafting for acetabular fractures in elderly patients. J Orthop Trauma 17(3):193\u2013197","journal-title":"J Orthop Trauma"},{"issue":"4","key":"3829_CR19","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1007\/s00402-017-2649-3","volume":"137","author":"H Resch","year":"2017","unstructured":"Resch H, Krappinger D, Moroder P, Auffarth A, Blauth M, Becker J (2017) Treatment of acetabular fractures in older patients-introduction of a new implant for primary total hip arthroplasty. Arch Orthop Trauma Surg 137(4):549\u2013556","journal-title":"Arch Orthop Trauma Surg"},{"issue":"2","key":"3829_CR20","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1007\/s00064-016-0439-7","volume":"28","author":"H Resch","year":"2016","unstructured":"Resch H, Krappinger D, Moroder P, Blauth M, Becker J (2016) Treatment of periprosthetic acetabular fractures after previous hemi- or total hip arthroplasty: introduction of a new implant. Oper Orthop Traumatol 28(2):104\u2013110","journal-title":"Oper Orthop Traumatol"},{"key":"3829_CR21","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-75435-7","volume-title":"Fractures of the acetabulum","author":"E Letournel","year":"1993","unstructured":"Letournel E, Judet R (1993) Fractures of the acetabulum, 2nd edn. Springer, Berlin Heidelberg","edition":"2"},{"issue":"1","key":"3829_CR22","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1302\/0301-620X.64B1.7068713","volume":"64","author":"K Hardinge","year":"1982","unstructured":"Hardinge K (1982) The direct lateral approach to the hip. J Bone Jt Surg Br 64(1):17\u201319","journal-title":"J Bone Jt Surg Br"},{"key":"3829_CR23","doi-asserted-by":"crossref","unstructured":"Manson T, Schmidt AH (2016) Acetabular fractures in the elderly. A critical analysis review. JBJS Rev 4(10):01874474-201610000-00002","DOI":"10.2106\/JBJS.RVW.15.00090"},{"issue":"2","key":"3829_CR24","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1302\/0301-620X.96B2.32979","volume":"96-B","author":"JS Daurka","year":"2014","unstructured":"Daurka JS, Pastides PS, Lewis A, Rickman M, Bircher MD (2014) Acetabular fractures in patients aged > 55\u00a0years: a systematic review of the literature. Bone Jt J 96-B(2):157\u2013163","journal-title":"Bone Jt J"},{"issue":"4","key":"3829_CR25","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1097\/BOT.0000000000000223","volume":"29","author":"JL Gary","year":"2015","unstructured":"Gary JL, Paryavi E, Gibbons SD, Weaver MJ, Morgan JH, Ryan SP, Starr AJ, O\u2019Toole RV (2015) Effect of surgical treatment on mortality after acetabular fracture in the elderly: a multicenter study of 454 patients. J Orthop Trauma 29(4):202\u2013208","journal-title":"J Orthop Trauma"},{"issue":"5","key":"3829_CR26","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1097\/BOT.0b013e3181b2b4ca","volume":"24","author":"RC Andersen","year":"2010","unstructured":"Andersen RC, O\u2019Toole RV, Nascone JW, Sciadini MF, Frisch HM, Turen CW (2010) Modified Stoppa approach for acetabular fractures with anterior and posterior column displacement: quantification of radiographic reduction and analysis of interobserver variability. J Orthop Trauma 24(5):271\u2013278","journal-title":"J Orthop Trauma"},{"issue":"2","key":"3829_CR27","doi-asserted-by":"publisher","first-page":"e340","DOI":"10.3928\/01477447-20160222-07","volume":"39","author":"M Elmadag","year":"2016","unstructured":"Elmadag M, Guzel Y, Aksoy Y, Arazi M (2016) Surgical treatment of displaced acetabular fractures using a modified Stoppa approach. Orthopedics 39(2):e340\u2013e345","journal-title":"Orthopedics"},{"issue":"12","key":"3829_CR28","doi-asserted-by":"publisher","first-page":"1900","DOI":"10.1016\/j.injury.2014.10.040","volume":"45","author":"MJ Keel","year":"2014","unstructured":"Keel MJ, Tomagra S, Bonel HM, Siebenrock KA, Bastian JD (2014) Clinical results of acetabular fracture management with the Pararectus approach. Injury 45(12):1900\u20131907","journal-title":"Injury"},{"issue":"5","key":"3829_CR29","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1097\/BOT.0b013e3182690ccd","volume":"27","author":"S Ruchholtz","year":"2013","unstructured":"Ruchholtz S, Buecking B, Delschen A, Lewan U, Taeger G, Kuehne C, Zettl R (2013) The two-incision, minimally invasive approach in the treatment of acetabular fractures. J Orthop Trauma 27(5):248\u2013255","journal-title":"J Orthop Trauma"},{"issue":"12","key":"3829_CR30","doi-asserted-by":"publisher","first-page":"1793","DOI":"10.1016\/j.injury.2013.08.009","volume":"44","author":"JD Bastian","year":"2013","unstructured":"Bastian JD, Tannast M, Siebenrock KA, Keel MJ (2013) Midterm results in relation to age and analysis of predictive factors after fixation of acetabular fractures using the modified Stoppa approach. Injury 44(12):1793\u20131798","journal-title":"Injury"},{"issue":"12","key":"3829_CR31","doi-asserted-by":"publisher","first-page":"1618","DOI":"10.1302\/0301-620X.88B12.17309","volume":"88","author":"M Bhandari","year":"2006","unstructured":"Bhandari M, Matta J, Ferguson T, Matthys G (2006) Predictors of clinical and radiological outcome in patients with fractures of the acetabulum and concomitant posterior dislocation of the hip. J Bone Jt Surg Br 88(12):1618\u20131624","journal-title":"J Bone Jt Surg Br"},{"issue":"5","key":"3829_CR32","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1097\/BOT.0b013e31821e10a2","volume":"26","author":"DM Jeffcoat","year":"2012","unstructured":"Jeffcoat DM, Carroll EA, Huber FG, Goldman AT, Miller AN, Lorich DG, Helfet DL (2012) Operative treatment of acetabular fractures in an older population through a limited ilioinguinal approach. J Orthop Trauma 26(5):284\u2013289","journal-title":"J Orthop Trauma"},{"issue":"2","key":"3829_CR33","doi-asserted-by":"publisher","first-page":"e39","DOI":"10.1097\/BOT.0b013e318298ef0a","volume":"28","author":"GY Laflamme","year":"2014","unstructured":"Laflamme GY, Hebert-Davies J (2014) Direct reduction technique for superomedial dome impaction in geriatric acetabular fractures. J Orthop Trauma 28(2):e39-43","journal-title":"J Orthop Trauma"},{"issue":"3","key":"3829_CR34","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1097\/BOT.0b013e31829c739a","volume":"28","author":"RV O\u2019Toole","year":"2014","unstructured":"O\u2019Toole RV, Hui E, Chandra A, Nascone JW (2014) How often does open reduction and internal fixation of geriatric acetabular fractures lead to hip arthroplasty? J Orthop Trauma 28(3):148\u2013153","journal-title":"J Orthop Trauma"},{"issue":"5","key":"3829_CR35","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1097\/BOT.0b013e318269126f","volume":"27","author":"MT Archdeacon","year":"2013","unstructured":"Archdeacon MT, Kazemi N, Collinge C, Budde B, Schnell S (2013) Treatment of protrusio fractures of the acetabulum in patients 70\u00a0years and older. J Orthop Trauma 27(5):256\u2013261","journal-title":"J Orthop Trauma"},{"issue":"5","key":"3829_CR36","doi-asserted-by":"publisher","first-page":"753","DOI":"10.2106\/00004623-199274050-00015","volume":"74","author":"DL Helfet","year":"1992","unstructured":"Helfet DL, Borrelli J Jr, Di Pasquale T, Sanders R (1992) Stabilization of acetabular fractures in elderly patients. J Bone Jt Surg Am 74(5):753\u2013765","journal-title":"J Bone Jt Surg Am"},{"issue":"1","key":"3829_CR37","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1007\/s00264-016-3175-6","volume":"41","author":"W Salama","year":"2017","unstructured":"Salama W, Mousa S, Khalefa A, Sleem A, Kenawey M, Ravera L, Masse A (2017) Simultaneous open reduction and internal fixation and total hip arthroplasty for the treatment of osteoporotic acetabular fractures. Int Orthop 41(1):181\u2013189","journal-title":"Int Orthop"},{"key":"3829_CR38","doi-asserted-by":"publisher","first-page":"4651518","DOI":"10.1155\/2017\/4651518","volume":"2017","author":"A Ortega-Briones","year":"2017","unstructured":"Ortega-Briones A, Smith S, Rickman M (2017) Acetabular fractures in the elderly: midterm outcomes of column stabilization and primary arthroplasty. BioMed Res Int 2017:4651518","journal-title":"BioMed Res Int"},{"issue":"6","key":"3829_CR39","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1097\/BOT.0000000000000016","volume":"28","author":"A Enocson","year":"2014","unstructured":"Enocson A, Blomfeldt R (2014) Acetabular fractures in the elderly treated with a primary Burch\u2013Schneider reinforcement ring, autologous bone graft, and a total hip arthroplasty: a prospective study with a 4-year follow-up. J Orthop Trauma 28(6):330\u2013337","journal-title":"J Orthop Trauma"},{"issue":"5","key":"3829_CR40","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1097\/BOT.0b013e3181b1d22a","volume":"24","author":"D Herscovici Jr","year":"2010","unstructured":"Herscovici D Jr, Lindvall E, Bolhofner B, Scaduto JM (2010) The combined hip procedure: open reduction internal fixation combined with total hip arthroplasty for the management of acetabular fractures in the elderly. J Orthop Trauma 24(5):291\u2013296","journal-title":"J Orthop Trauma"},{"issue":"10","key":"3829_CR41","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1097\/BOT.0b013e3181ceb685","volume":"24","author":"EA Carroll","year":"2010","unstructured":"Carroll EA, Huber FG, Goldman AT, Virkus WW, Pagenkopf E, Lorich DG, Helfet DL (2010) Treatment of acetabular fractures in an older population. J Orthop Trauma 24(10):637\u2013644","journal-title":"J Orthop Trauma"},{"key":"3829_CR42","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03433-3","author":"J Becker","year":"2020","unstructured":"Becker J, Winkler M, von Rueden C, Bliven E, Augat P, Resch H (2020) Comparison of two reinforcement rings for primary total hip arthroplasty addressing displaced acetabular fractures: a biomechanical analysis. Arch Orthop Trauma Surg. https:\/\/doi.org\/10.1007\/s00402-020-03433-3","journal-title":"Arch Orthop Trauma Surg"},{"issue":"4","key":"3829_CR43","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1016\/j.injury.2009.12.001","volume":"41","author":"U Culemann","year":"2010","unstructured":"Culemann U, Holstein JH, K\u00f6hler D, Tzioupis CC, Pizanis A, Tosounidis G, Burkhardt M, Pohlemann T (2010) Different stabilisation techniques for typical acetabular fractures in the elderly\u2014a biomechanical assessment. Injury 41(4):405\u2013410","journal-title":"Injury"},{"issue":"7","key":"3829_CR44","doi-asserted-by":"publisher","first-page":"1512","DOI":"10.2106\/00004623-200407000-00022","volume":"86-A","author":"JL Pierson","year":"2004","unstructured":"Pierson JL, Hannon TJ, Earles DR (2004) A blood-conservation algorithm to reduce blood transfusions after total hip and knee arthroplasty. J Bone Jt Surg Am 86-A(7):1512\u20131518","journal-title":"J Bone Jt Surg Am"},{"issue":"5","key":"3829_CR45","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1097\/BOT.0b013e31819f691d","volume":"23","author":"BP Scannell","year":"2009","unstructured":"Scannell BP, Loeffler BJ, Bosse MJ, Kellam JF, Sims SH (2009) Efficacy of intraoperative red blood cell salvage and autotransfusion in the treatment of acetabular fractures. J Orthop Trauma 23(5):340\u2013345","journal-title":"J Orthop Trauma"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-021-03829-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-021-03829-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-021-03829-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T08:06:35Z","timestamp":1675152395000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-021-03829-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,11]]},"references-count":45,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["3829"],"URL":"https:\/\/doi.org\/10.1007\/s00402-021-03829-9","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,11]]},"assertion":[{"value":"9 November 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The study was approved by the local ethics committee and no concerns were raised regarding the use of the ARRP.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"H. Resch is registered inventor of a granted patent for the ARRP and is contractual recipient of royalties in case of commercial exploitation. All other authors have no conflict of interest relating to this manuscript.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}