A Growing Problem. Acetabular Fractures in the Elderly and the Combined Hip Procedure.

Leonard T. Buller, Charles M. Lawrie, Fernando Vilella-Hernandez

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Acetabular fractures in the elderly are most frequently the result of low-energy trauma and present unique management challenges to orthopedic surgeons. Evaluation and treatment should be performed in a multidisciplinary fashion with early involvement of internal medicine subspecialists and geriatricians. Distinct fracture patterns and pre-existing osteoarthritis and osteoporosis necessitate careful preoperative planning. The role of total hip arthroplasty should also be considered when surgical treatment is indicated. The outcomes of acetabular fractures in the elderly have improved, but complications remain higher and results less satisfactory than in younger individuals. The lack of randomized controlled trials has limited the ability to establish an evidence-based treatment algorithm.

Original languageEnglish (US)
Pages (from-to)215-225
Number of pages11
JournalOrthopedic Clinics of North America
Issue number2
StatePublished - Apr 1 2015


  • Acetabular fracture
  • Combined hip procedure
  • Elderly
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Medicine(all)


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