{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:00:49Z","timestamp":1789754449171,"version":"4.0.1"},"reference-count":30,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ActaO"],"abstract":"<jats:p>Background and purpose:\u00a0Acetabular fractures in osteoporotic bone are associated with substantial joint impaction and comminution, previously shown to be prognostic for a poor result. A combined procedure of open reduction, internal fixation (ORIF), and total hip arthroplasty (THA) can be a good option, allowing for immediate weightbearing as tolerated. We report short- to medium-term outcome and complications of the results of patients treated with this combined procedure.Methods:\u00a048 cases treated with ORIF and acute THA from 2000 to 2019 were identified from our local pelvic fracture registry, from which follow-up data was extracted. Descriptive statistics were used and Kaplan\u2013Meier survival curves were calculated. Primary outcome was HHS at 1 year. Secondary outcomes were implant survival, complications requiring surgery, and mortality at 3 months.Results:\u00a0There were 37 men and 11 women treated in the study period. Mean age was 68 (37\u201387) years. 6 patients died within 3 months of surgery, leaving 42 cases available for follow-up. Mean follow-up (FU) was 2.8 (1\u201316) years. The most common mechanism of injury was fall from standing height (n = 36). Medical comorbidities were common. Mean Harris Hip Score (HHS) was 83 (51\u2013100) at 1-year follow-up. There were 7 reoperations: 6 for postoperative infection and 1 closed reduction of implant dislocation. 38 had their implant intact at latest FU. At the latest FU, 28 patients were ambulatory without a walking aid.Conclusion:\u00a0Our results indicate that ORIF and acute THA can be performed with good functional results in patients with unreconstructable displaced acetabular fractures, but with a significant risk of infection and revision.<\/jats:p>","DOI":"10.2340\/17453674.2024.42113","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T15:46:26Z","timestamp":1732117586000},"source":"Crossref","is-referenced-by-count":10,"title":["Acute treatment of elderly patients with acetabular fractures by open reduction, internal fixation, and total hip arthroplasty: a 1\u201310-year follow-up of 48 patients"],"prefix":"10.2340","volume":"95","author":[{"given":"Ragnhild Loven","family":"Kirkeboe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9002-1213","authenticated-orcid":false,"given":"Jan Erik","family":"Madsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Nordsletten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Clarke-Jenssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"87727","doi-asserted-by":"crossref","unstructured":"Ferguson T A, Patel R, Bhandari M, Matta J M. Fractures of the acetabulum in patients aged 60 years and older: an epidemiological and radiological study. J Bone Joint Surg Br 2010; 92: 250-7. doi: 10.1302\/0301-620x.92b2.22488.","DOI":"10.1302\/0301-620X.92B2.22488"},{"key":"87728","doi-asserted-by":"crossref","unstructured":"Rinne P P, Laitinen M K, Huttunen T, Kannus P, Mattila V M. The incidence and trauma mechanisms of acetabular fractures: a nationwide study in Finland between 1997 and 2014. Injury 2017; 48: 2157-61. doi: 10.1016\/j.injury.2017.08.003.","DOI":"10.1016\/j.injury.2017.08.003"},{"key":"87729","doi-asserted-by":"crossref","unstructured":"Butterwick D, Papp S, Gofton W, Liew A, Beaul\u00e9 P E. Acetabular fractures in the elderly: evaluation and management. J Bone Joint Surg Am 2015; 97: 758-68. doi: 10.2106\/jbjs.N.01037.","DOI":"10.2106\/JBJS.N.01037"},{"key":"87730","doi-asserted-by":"crossref","unstructured":"Tannast M, Najibi S, Matta J M. Two to twenty-year survivorship of the hip in 810 patients with operatively treated acetabular fractures. J Bone Joint Surg Am 2012; 94: 1559-67. doi: 10.2106\/jbjs.K.00444.","DOI":"10.2106\/JBJS.K.00444"},{"key":"87731","doi-asserted-by":"crossref","unstructured":"Anglen J O, Burd T A, Hendricks K J, Harrison P. The \u201cGull Sign\u201d: a harbinger of failure for internal fixation of geriatric acetabular fractures. J Orthop Trauma 2003; 17: 625-34. doi: 10.1097\/00005131-200310000-00005.","DOI":"10.1097\/00005131-200310000-00005"},{"key":"87732","doi-asserted-by":"crossref","unstructured":"Mears D C, Velyvis J H, Chang C P. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop Relat Res 2003; 10.1097\/00003086-200302000-00026: 173-86. doi: 10.1097\/00003086-200302000-00026.","DOI":"10.1097\/00003086-200302000-00026"},{"key":"87733","doi-asserted-by":"crossref","unstructured":"Clarke-Jenssen J, R\u00f8ise O, Storeggen S, Madsen J E. Long-term survival and risk factors for failure of the native hip joint after operatively treated displaced acetabular fractures. Bone Joint J 2017; 99-b: 834-40. doi: 10.1302\/0301-620x.99b6.Bjj-2016-1013.R1.","DOI":"10.1302\/0301-620X.99B6.BJJ-2016-1013.R1"},{"key":"87734","doi-asserted-by":"crossref","unstructured":"Carroll E A, Huber F G, Goldman A T, Virkus W W, Pagenkopf E, Lorich D G, et al. Treatment of acetabular fractures in an older population. J Orthop Trauma 2010; 24: 637-44. doi: 10.1097\/BOT.0b013e3181ceb685.","DOI":"10.1097\/BOT.0b013e3181ceb685"},{"key":"87735","doi-asserted-by":"crossref","unstructured":"Rickman M, Young J, Bircher M, Pearce R, Hamilton M. The management of complex acetabular fractures in the elderly with fracture fixation and primary total hip replacement. Eur J Trauma Emerg Surg 2012; 38: 511-16. doi: 10.1007\/s00068-012-0231-9.","DOI":"10.1007\/s00068-012-0231-9"},{"key":"87736","doi-asserted-by":"crossref","unstructured":"Nicol G M, Sanders E B, Kim P R, Beaul\u00e9 P E, Gofton W T, Grammatopoulos G. Outcomes of total hip arthroplasty after acetabular open reduction and internal fixation in the elderly: acute vs delayed total hip arthroplasty. J Arthroplasty 2021; 36: 605-11. doi: 10.1016\/j.arth.2020.08.022.","DOI":"10.1016\/j.arth.2020.08.022"},{"key":"87737","doi-asserted-by":"crossref","unstructured":"Sermon A, Broos P, Vanderschot P. Total hip replacement for acetabular fractures: results in 121 patients operated between 1983 and 2003. Injury 2008; 39: 914-21. doi: 10.1016\/j.injury.2007.12.004.","DOI":"10.1016\/j.injury.2007.12.004"},{"key":"87738","doi-asserted-by":"crossref","unstructured":"Herscovici D Jr, Lindvall E, Bolhofner B, Scaduto J M. 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 2010; 24: 291-6. doi: 10.1097\/BOT.0b013e3181b1d22a.","DOI":"10.1097\/BOT.0b013e3181b1d22a"},{"key":"87739","doi-asserted-by":"crossref","unstructured":"Lin C, Caron J, Schmidt A H, Torchia M, Templeman D. Functional outcomes after total hip arthroplasty for the acute management of acetabular fractures: 1- to 14-year follow-up. J Orthop Trauma 2015; 29: 151-9. doi: 10.1097\/bot.0000000000000164.","DOI":"10.1097\/BOT.0000000000000164"},{"key":"87740","unstructured":"Doyle D J, Goyal A, Bansal P, Garmon E H. American Society of Anesthesiologists Classification. StatPearls. Treasure Island, FL: StatPearls Publishing, StatPearls Publishing LLC; 2020."},{"key":"87741","doi-asserted-by":"crossref","unstructured":"Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res 1980; (151): 81-106. 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Acetabular fractures in patients aged > 55 years: a systematic review of the literature. Bone Joint J 2014; 96-b: 157-63. doi: 10.1302\/0301-620x.96b2.32979.","DOI":"10.1302\/0301-620X.96B2.32979"},{"key":"87748","doi-asserted-by":"crossref","unstructured":"Boraiah S, Ragsdale M, Achor T, Zelicof S, Asprinio D E. Open reduction internal fixation and primary total hip arthroplasty of selected acetabular fractures. J Orthop Trauma 2009; 23: 243-8. doi: 10.1097\/BOT.0b013e3181923fb8.","DOI":"10.1097\/BOT.0b013e3181923fb8"},{"key":"87749","doi-asserted-by":"crossref","unstructured":"Ortega-Briones A, Smith S, Rickman M. Acetabular fractures in the elderly: midterm outcomes of column stabilisation and primary arthroplasty. Biomed Res Int 2017; 2017: 4651518. doi: 10.1155\/2017\/4651518.","DOI":"10.1155\/2017\/4651518"},{"key":"87750","doi-asserted-by":"crossref","unstructured":"Morison Z, Moojen D J, Nauth A, Hall J, McKee M D, Waddell J P, et al. 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