Acetabular Fracture

The patient was a 74-year-old woman who presented to the office with chronic, worsening, right hip pain. Her past medical history included myasthenia gravis and dyslipidemia.

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.

Results published in The Journal of Arthroplasty showed total hip arthroplasty may be associated with improved outcomes among patients with previous operative fixation of acetabular fractures.

SEATTLE — In this video from the Orthopaedic Trauma Association Annual Meeting, Richard S. Yoon, MD, FAAOS, and Michael A. Maceroli, MD, discussed treating acetabular fractures in older patients.

The patient is a 74-year-old man with a past medical history of hypertension who initially presented to an urgent care facility with left knee pain after falling directly onto his knee.

Compared with patients with isolated acetabular fractures, patients with pelvic ring fractures – specifically type C pelvic ring fractures – have higher mortality rates, according to published results.

Compared with proximal femoral fractures, acetabular fractures were linked with lower 1-year mortality rates in older patients despite being associated with a higher complication rate, according to published results.

Use of mini-fragment plates may be effective for the provisional fixation of elementary and associated acetabular fractures, according to an orthopedic trauma specialist.

Data presented at the American Orthopaedic Society for Sports Medicine Annual Meeting showed lateral joint space and preoperative nonarthritic hip score were prognosticators of improved 2- and 5-year hip arthroscopy outcomes.

Hip arthroscopy is a unique and novel specialty within the field of joint preservation. One of the most common indications for it, femoroacetabular impingement, was first coined in 1999. Initially, femoroacetabular impingement was commonly addressed with open surgical hip dislocation, a procedure described by Reinhold Ganz, MD, and colleagues in 2001, which was considered the gold standard for surgical treatment of femoroacetabular impingement for much of the following decade. Only in the last decade did hip arthroscopy become more commonly performed for this indication. However, the anatomic complexity of the hip joint, including the proximity of neurovascular structures and the relative inelasticity of the surrounding ligaments, yielded a significant learning curve. Inevitably, surgeons undertaking hip arthroscopies face a subset of patients with continued complaints, sometimes referred to as failed hip arthroscopy syndrome. The growing popularity of hip arthroscopy has necessitated the development of specialized referral centers, which must act as a resource to the surgeon facing a patient complaining of continued pain after primary hip arthroscopy.