Acute total hip arthroplasty for acetabular fractures in the elderly - Surgical strategies and recent trends.

Authors

Shaunak Patwardhan, Vijaya Kempanna Hoshahalli, Inder Gill, Justin Lim, Nikhil Shah

Published in

Journal of clinical orthopaedics and trauma. Volume 81. Pages 103543. Epub Jun 29, 2026.

Abstract

Managing acetabular fractures in the elderly remains a formidable clinical challenge. While traditional approaches include conservative management or internal fixation, the acute total hip arthroplasty or simultaneous "acute fix and replace" strategy-combining fracture fixation with total hip arthroplasty-has gained significant traction and become more prevalent over the past 10-15 years. This narrative review visits the underlying rationale for this integrated philosophy and details various surgical strategies and our preferred technique. Alongside a concise literature review and a discussion of potential complications, we share our preferred surgical tactics, illustrated through case examples.

PMID:
42472041
Bibliographic data and abstract were imported from PubMed on 19 Jul 2026.

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