VIDEO: THA for acetabular fracture may have more complications vs. femoral neck fracture
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Key takeaways:
- Older patients with acetabular fractures had higher complication rates vs. those with femoral neck fractures.
- Hip replacement for acetabular fracture in this group should be done in tertiary referral centers.
SAN FRANCISCO — Results showed patients older than 65 years with acetabular fractures had a higher rate of complications and readmissions after total hip arthroplasty compared with those who had femoral neck fractures.
“The clear message was that geriatric acetabular fracture patients are a unique population that a certain set of orthopedic trauma and arthroplasty specialty centers should be treating, not necessarily in the community, if a total hip is considered,” Vinay K. Aggarwal, MD, assistant professor at NYU Langone Orthopedics, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “It is not comparing apples to apples when patients have acetabular fractures vs. femoral neck fractures. You have to consider the much higher rates of complications with acetabular fractures getting a total hip replacement and send them to a tertiary referral center where you have all the team members to provide them with optimal care.”
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Konda SR, et al. Paper 106. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
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