{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T21:46:01Z","timestamp":1788990361032,"version":"build-2803163510"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2016,10,4]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 In the physiologically compromised elderly patient with an acetabular fracture, nonoperative treatment is associated with functional outcomes (as indicated by the Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC] scores) similar to those seen in healthier patients who undergo open reduction and internal fixation, with similar mortality and lesser need for late conversion to total hip arthroplasty.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Open reduction and internal fixation of displaced acetabular fractures in patients older than 60 years of age is an excellent option provided that the patient does not have risk factors for failure such as acetabular dome (roof) impaction, femoral-head impaction, or a posterior-wall component. Specific techniques to treat quadrilateral plate involvement and dome impaction are necessary to ensure a durable result. More limited operative approaches and percutaneous fixation have a role in this patient population to minimize the morbidity associated with more extensive exposures.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The clinical and radiographic outcome of posterior-wall acetabular fractures that have associated comminution, marginal impaction, and\/or femoral-head impaction fractures is predictably poor, with rapid onset of posttraumatic arthritis. Immediate total hip arthroplasty in this population is simple and has outcomes equivalent to those of total hip arthroplasty for coxarthrosis. Total hip arthroplasty should be considered for patients who are \u226560 years of age and have posterior-wall acetabular fractures and perhaps even in younger patients when there are multiple injury factors that predict a poor outcome.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The published clinical results of the use of acetabular reconstruction rings, bone graft, and revision arthroplasty techniques appear to be similar to the results of combined internal fixation and insertion of uncemented acetabular components. Surgeons should choose an operative plan that is appropriate to their particular training and skills, the patient\u2019s particular fracture, and hospital resources.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.15.00090","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T22:49:10Z","timestamp":1475621350000},"source":"Crossref","is-referenced-by-count":38,"title":["Acetabular Fractures in the Elderly"],"prefix":"10.2106","volume":"4","author":[{"given":"Ted","family":"Manson","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew H.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hennepin County Medical Center, Minneapolis, Minnesota"},{"name":"Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"5","key":"r1-20230812","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1097\/00005131-199310000-00002","article-title":"The computerized tomography subchondral arc: a new method of assessing acetabular articular continuity after fracture (a preliminary report)","volume":"7","author":"Olson","year":"1993","journal-title":"J Orthop Trauma"},{"issue":"10","key":"r2-20230812","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1097\/BOT.0b013e3181ceb685","article-title":"Treatment of acetabular fractures in an older population","volume":"24","author":"Carroll","year":"2010","journal-title":"J Orthop Trauma"},{"key":"r3-20230812","article-title":"Non operative versus operative treatment of acetabular fractures in the elderly","author":"Ryan","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"r4-20230812","first-page":"1833","article-title":"Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee","volume":"15","author":"Bellamy","year":"1988","journal-title":"J Rheumatol"},{"issue":"5","key":"r5-20230812","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1302\/0301-620X.71B5.2584245","article-title":"Acetabular fractures in older patients","volume":"71","author":"Spencer","year":"1989","journal-title":"J Bone Joint Surg Br."},{"key":"r6-20230812","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/00003086-198604000-00030","article-title":"Fractures of the acetabulum. 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