Management of acetabular fractures in the elderly

Nicholas B. Antell, Julie A. Switzer, Andrew H. Schmidt

Research output: Contribution to journalReview articlepeer-review

49 Scopus citations


The incidence of acetabular fractures in the elderly population is increasing. Fractures in this population differ from those in younger patients, with more frequent involvement of the anterior column, more comminution, and more severe articular impaction in elderly patients. Although acetabular fractures in geriatric patients are more likely the result of low-energy trauma, outcomes are generally poorer than those in young patients. Multiple management options have been proposed, but no intervention has become the standard of care for these fractures in the elderly. Patient characteristics (eg, prior ambulation status, functional capacity, bone quality), the nature of the fracture, and the experience of the treating orthopaedic surgeon all must be considered when choosing among nonsurgical treatment, percutaneous fixation, open reduction and internal fixation, and immediate or delayed arthroplasty. Each treatment option has the potential for satisfactory results in properly selected patients.

Original languageEnglish (US)
Pages (from-to)577-585
Number of pages9
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number8
StatePublished - Aug 1 2017

Bibliographical note

Publisher Copyright:
© 2017 by the American Academy of Orthopaedic Surgeons.


  • Acetabular fracture
  • THA
  • elderly
  • geriatric trauma
  • osteoporosis
  • total hip arthroplasty


Dive into the research topics of 'Management of acetabular fractures in the elderly'. Together they form a unique fingerprint.

Cite this