{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:07Z","timestamp":1787755807191,"version":"build-2784847793"},"reference-count":79,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb Geriatric acetabular fractures are defined as fractures sustained by patients who are \u226560 years old. With the rapidly aging American populace and its increasingly active lifestyle, the prevalence of these injuries will continue to increase.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb An interdisciplinary approach is necessary to ensure successful outcomes. This begins in the emergency department with hemodynamic stabilization, diagnosis of the fracture, identification of comorbidities and concomitant injuries, as well as early consultation with the orthopaedic surgery service. This multifaceted approach is continued when patients are admitted, and trauma surgery, geriatrics, and cardiology teams are consulted. These teams are responsible for the optimization of complex medical conditions and risk stratification prior to operative intervention.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Treatment varies depending on a patient\u2019s preinjury functional status, the characteristics of the fracture, and the patient\u2019s ability to withstand surgery. Nonoperative management is recommended for patients with minimally displaced fractures who cannot tolerate the physiologic stress of surgery. Percutaneous fixation is a treatment option most suited for patients with minimally displaced fractures who are at risk for displacing the fracture or are having difficulty mobilizing because of pain. Open reduction and internal fixation is recommended for patients with displaced acetabular fractures who are medically fit for surgery and have a displaced fracture pattern that would do poorly without operative intervention. Fixation in combination with arthroplasty can be done acutely or in delayed fashion. Acute fixation combined with arthroplasty benefits patients who have poorer bone quality and fracture characteristics that make healing unlikely. Delayed arthroplasty is recommended for patients who have had failure of nonoperative management, have a fracture pattern that is not favorable to primary total hip arthroplasty, or have developed posttraumatic arthritis.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.22.00017","type":"journal-article","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T14:09:20Z","timestamp":1653487760000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Team Approach: Management of Geriatric Acetabular Fractures"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6969-7879","authenticated-orcid":false,"given":"Benjamin","family":"Villacres Mori","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4624-3556","authenticated-orcid":false,"given":"Joseph R.","family":"Young","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Lakra","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernest","family":"Chisena","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,5]]},"reference":[{"issue":"2","key":"r1-20241122","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1302\/0301-620X.92B2.22488","article-title":"Fractures of the acetabulum in patients aged 60 years and older: an epidemiological and radiological study","volume":"92","author":"Ferguson","year":"2010","journal-title":"J Bone Joint Surg Br"},{"issue":"Suppl 2","key":"r2-20241122","doi-asserted-by":"crossref","first-page":"S33","DOI":"10.1016\/S0020-1383(13)70177-3","article-title":"Fractures of the acetabulum in elderly patients: an update","volume":"43","author":"Guerado","year":"2012","journal-title":"Injury"},{"issue":"2","key":"r3-20241122","doi-asserted-by":"crossref","first-page":"128","DOI":"10.5435\/00124635-199903000-00006","article-title":"Surgical treatment of acetabular fractures in elderly patients with osteoporotic bone","volume":"7","author":"Mears","year":"1999","journal-title":"J Am Acad Orthop Surg"},{"issue":"9","key":"r4-20241122","article-title":"Analysis of Incidence and Outcome Predictors for Patients Admitted to US Hospitals with Acetabular Fractures from 1990 to 2010","volume":"47","author":"Best","year":"2018","journal-title":"Am J Orthop (Belle Mead NJ)"},{"issue":"9","key":"r5-20241122","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1097\/BOT.0000000000000632","article-title":"Major Extremity Trauma Research Consortium (METRC). 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