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We investigate recent trends in the operative management of acetabular fractures. We hypothesize that the incidence of acute THA for acetabular fractures has increased over time.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>4569 middle-aged (45\u201364\u00a0years) and older adults (\u2265\u200965\u00a0years) who received acute operative management of an acetabular fracture within 3\u00a0weeks of admission between 2010 and 2020 were identified from the United States Nationwide Inpatient Sample database. Treatment was classified as open reduction internal fixation (ORIF), THA, or combined ORIF and THA (ORIF\u2009+\u2009THA). Patients were stratified by age \u2265\u200965\u00a0years old. Associations between demographic factors and the incidence of each procedure over the study period were modeled using linear regression.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The relative incidence of treatments was 80.9% ORIF, 12.1% THA, and 7.0% ORIF\u2009+\u2009THA. Among patients aged 45\u201364\u00a0years old, THA increased 4.8% [R<jats:sup>2<\/jats:sup>\u2009=\u20090.62; \u03b2<jats:sub>1<\/jats:sub>\u2009=\u20090.6% (95% Confidence Interval (CI) 0.2\u20130.9%)] and ORIF\u2009+\u2009THA increased 2.6% [R<jats:sup>2<\/jats:sup>\u2009=\u20090.73; \u03b2<jats:sub>1<\/jats:sub>\u2009=\u20090.3% (95% CI 0.2\u20130.4%)], while the use of ORIF decreased 7.4% [R<jats:sup>2<\/jats:sup>\u2009=\u20090.75; \u03b2<jats:sub>1<\/jats:sub>\u2009=\u2009\u22120.9% (95% CI \u22121.2 to \u22120.5%)]. Among patients \u2265\u200965\u00a0years old, THA increased 16.5% [R<jats:sup>2<\/jats:sup>\u2009=\u20090.87; \u03b2<jats:sub>1<\/jats:sub>\u2009=\u20091.7% (95% CI 1.2\u20132.2%)] and ORIF\u2009+\u2009THA increased 5.0% [R<jats:sup>2<\/jats:sup>\u2009=\u20090.38, \u03b2<jats:sub>1<\/jats:sub>\u2009=\u20090.6% (95% CI 0.0\u20131.3%)], while ORIF decreased 21.5% [R<jats:sup>2<\/jats:sup>\u2009=\u20090.75; \u03b2<jats:sub>1<\/jats:sub>\u2009=\u2009\u22122.4% (95% CI \u22123.45 to \u22121.3%)].<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The treatment of acetabular fractures with acute THA has increased in the last decade, particularly among older adults.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00590-023-03653-4","type":"journal-article","created":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T09:01:38Z","timestamp":1690016498000},"page":"3509-3521","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Rising incidence of acute total hip arthroplasty for primary and adjunctive treatment of acetabular fracture in older and middle-aged adults"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7494-7366","authenticated-orcid":false,"given":"Joseph T.","family":"Patterson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Wier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranit","family":"Kumaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Adamczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,22]]},"reference":[{"key":"3653_CR1","doi-asserted-by":"publisher","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. 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RF reports honoraria from AO North America AO, royalties from Innomed, consulting fees from Smith & Nephew, and board or committee membership with Orthopaedic Trauma Association. The authors declare the following financial interests\/personal relationships which may be considered as potential competing interests: JTP reports research support from AO Trauma North America, board or committee membership with Orthopaedic Trauma Association, and consulting fees from Johnson & Johnson. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. JW, PK, AA declare no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was performed with de-identified public data and was therefore exempt from institutional review board approval. This study was exempt from Institutional Review Board as data is de-identified. Investigation performed at Keck School of Medicine of University of Southern California. This work was accepted for presentation as a poster at the Orthopaedic Trauma Association Annual meeting in Seattle, WA in October 2023.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This study was performed with de-identified public data and therefore did not require informed consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}