Introduction and Scope of the Problem.- Life Expectancy and Assessment of Functional Status in Older Patients.- Non-Operative Treatment of the Geriatric Acetabular Fracture.- Open Reduction and Internal Fixation of Posterior Wall and Column Fractures in Older Patients.- Open Reduction and Internal Fixation of Anterior Fracture Patterns through a Limited Ilioinguinal Approach.- Dealing with Dome Impaction and Quadrilateral Plate Comminution in Older Patients Treated with Open Reduction and Internal Fixation.- Percutaneous Treatment of Acetabular Fractures in Older Patients.- Total Hip Arthroplasty Alone for Treatment of Selected Acetabular Fractures in Older Patients.- Open Reduction and Internal Fixation with Concomitant Total Hip Arthroplasty.- Outcomes of Treatment Options for Acetabular Fractures in Older Patients.- Conversion Total Hip Arthroplasty.
Acetabular fractures in older adults are increasing in frequency and present unique challenges to the surgeons charged with their treatment. This text provides the clinician tools for deciding who is an operative candidate and reviews in detail the various surgical treatments available for management. Opening chapters discuss the scope of the problem, the functional status of older patients and the risks involved with any surgical approach. After a chapter discussing non-operative approaches to acetabular fractures, the remaining chapters present the various surgical techniques and include a critical assessment of the outcomes of these treatment choices. ORIF techniques for posterior and anterior wall and column fractures are followed by percutaneous treatment and total hip arthroplasty, both alone and in combination with ORIF.
Presenting the most current strategies for these increasingly common injuries, Acetabular Fractures in Older Patients is an excellent resource for all orthopedic and trauma surgeons.
Theodore T. Manson, MD, Associate Professor of Orthopedics, University of Maryland Medical Center, Timonium, MD, USA