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September 10, 2025Journal of the American Academy of Orthopaedic Surgeons

Fixation Versus Acute Total Hip Arthroplasty for Acetabular Fracture: A Cost-Effectiveness Analysis

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Authors

BKBenjamin V. KelleyDBDane J BrodkeAUAlexander Upfill‐Brown

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Overview

Analysis reveals acute total hip arthroplasty is more cost-effective for patients aged 68+, suggesting treatment guidelines.

Key Points

  • Acute total hip arthroplasty proves to be cost-effective for patients aged 68 and older, while ORIF is better for younger patients.
  • Mortality rates were 10.7% for aTHA and 11.7% for ORIF, indicating similar risks but different cost-effectiveness profiles.
  • A Markov decision analysis model was constructed to evaluate the economic impact of both treatments in elderly patients.
  • Findings highlight the need for treatment adjustments based on age, as aTHA is preferable for patients 68 years and older.

Cite This Study

Kelley et al. (2025) studied this question.

synapsesocial.com/papers/68c24236b210217d647a2e12https://doi.org/10.5435/jaaos-d-24-00853
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Outcomes of THA versus ORIF for Acetabular Fractures in Older Adults2025
  2. 2Functional and radiological outcomes in elderly acetabular fracture patients treated with internal fixation and acute total hip arthroplasty2025
  3. 3Acute total hip replacement of acetabular fractures with cementless modular revision cups in patients older than 55 years: A retrospective cohort study2025
  4. 4Predictors of Conversion Total Hip Arthroplasty After Surgically Managed Acetabulum Fractures2025
  5. 5Management of Hip Arthroplasty for Intertrochanteric Fractures Under the Treatment Concept of Periprosthetic Fractures2025