{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:44:13Z","timestamp":1791359053121,"version":"4.3.1"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To evaluate the initial complications and short-term readmissions and reoperations after open reduction internal fixation (ORIF) versus acute total hip arthroplasty (THA) for elderly acetabular fractures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective database review.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>All hospitalizations in the National Readmissions Database and National Inpatient Sample.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>Patients 60 years of age or older with closed acetabular fractures managed surgically identified from the National Readmissions Database or National Inpatient Sample between 2010 and 2019.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Acute THA with or without ORIF.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>30-, 90-, and 180-day readmissions and reoperations and index hospitalization complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>An estimated 12,538 surgically managed acetabular fractures in elderly patients occurred nationally between 2010 and 2019, with 10,008 (79.8%) undergoing ORIF and 2529 (20.2%) undergoing THA. Length of stay was 1.7 days shorter (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001) and probability of nonhome discharge was reduced (OR 0.68, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.009) for THA patients than for ORIF patients. THA was associated with lower rates of pneumonia (4.6 vs. 9.1%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001) and other respiratory complications (10.2 vs. 17.6%) when compared with ORIF. At 30 days, THA patients had higher rates of readmission (13.9 vs. 10.1%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.007), related readmission (5.4 vs. 1.2%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), readmission for dislocation (3.1 vs. 0.3%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), and reoperations (2.9 vs. 0.9%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.002). At 180 days, THA patients had higher rates of related readmission (10.1% vs. 3.9%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), readmission for dislocation (5.1% vs. 1.3%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), and readmission for SSI (3.4 vs. 0.8%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.005).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Acute THA is associated with lower length of stay and certain index hospitalization complications, but higher rates of readmissions for related reasons and specifically for dislocation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000002575","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T04:00:55Z","timestamp":1675828855000},"page":"334-340","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":17,"title":["Higher Rates of Readmission After Acute Total Hip Arthroplasty Versus Open Reduction Internal Fixation for Elderly Acetabular Fractures, a National Study From 2010 to 2019"],"prefix":"10.1097","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3176-1382","authenticated-orcid":false,"given":"Alexander","family":"Upfill-Brown","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Maturana","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dane","family":"Brodke","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akash A.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin V.","family":"Kelley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik N.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai K.","family":"Devana","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Santa Monica, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1097\/BOT.0000000000001758","article-title":"Mortality rate of geriatric acetabular fractures is high compared with hip fractures. 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