Acetabular Fractures in Older Patients: Assessment and Management
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Description
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. Front Matter ....Pages i-x Introduction and Scope of the Problem (Andrew H. Schmidt)....Pages 1-3 Life Expectancy and Assessment of Functional Status in Older Adults (Lisa Reider)....Pages 5-19 Nonoperative Treatment of the Geriatric Acetabular Fracture (Mariano E. Menendez, Scott P. Ryan)....Pages 21-28 Open Reduction and Internal Fixation of Posterior Wall and Column Fractures in Older Patients (Marcus Sciadini, David Potter)....Pages 29-38 Open Reduction and Internal Fixation of Anterior Fracture Patterns through a Limited Ilioinguinal Approach (David L. Helfet, Gele B. Moloney)....Pages 39-48 Dealing with Dome Impaction and Quadrilateral Plate Comminution in Older Patients Treated with Open Reduction and Internal Fixation (Brendan R. Southam, Michael T. Archdeacon)....Pages 49-63 Percutaneous Treatment of Acetabular Fractures in Older Patients (Joshua L. Gary)....Pages 65-95 Total Hip Arthroplasty Alone for Treatment of Selected Acetabular Fractures in Older Patients (John M. Whatley, Andrew H. Schmidt, Theodore T. Manson)....Pages 97-112 Open Reduction and Internal Fixation with Concomitant Total Hip Arthroplasty (Theodore T. Manson)....Pages 113-131 Outcomes of Treatment Options for Acetabular Fractures in Older Patients (Robert V. O’Toole)....Pages 133-142 Conversion Total Hip Arthroplasty (Theodore T. Manson, Aaron J. Johnson)....Pages 143-164 Back Matter ....Pages 165-168
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