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October 2, 2025Open Access

Acute total hip replacement of acetabular fractures with cementless modular revision cups in patients older than 55 years: A retrospective cohort study

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Authors

MRMohammed RashedFHFrank HildebrandUHUlf Krister Hofmann

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Overview

Retrospective cohort study compares functional outcomes of hip replacement versus fixation in patients with acetabular fractures, suggesting benefits for the elderly.

Key Points

  • Acute total hip replacement resulted in significantly better improvements in functional outcomes, achieving mean Harris hip scores of 82 and 83 versus 57 for fixation-only patients.
  • All reoperations occurred in the fixation group, highlighting the greater reliability of the replacement method, especially in elder patients.
  • This retrospective cohort study included 37 patients over 55 years treated for acetabular fractures at a Level I trauma center.
  • Findings support early total hip replacement as a viable option in structured decision-making for complex acetabular fractures.

Cite This Study

Rashed et al. (2025) studied this question.

synapsesocial.com/papers/68de68ea83cbc991d0a21654https://doi.org/10.21203/rs.3.rs-7350551/v1
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Also Consider

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

  1. 1Functional and radiological outcomes in elderly acetabular fracture patients treated with internal fixation and acute total hip arthroplasty2025
  2. 2Total hip arthroplasty for acute acetabular fractures through the replace-in-situ philosophy2025
  3. 3Cemented dual-mobility total hip arthroplasty cups in a custom-made acetabulum: a clinical and radiological evaluation2025
  4. 4Fixation Versus Acute Total Hip Arthroplasty for Acetabular Fracture: A Cost-Effectiveness Analysis2025
  5. 5Salvage re-revision total hip arthroplasty for severe femoral and acetabular bone defect complicated by periprosthetic joint infection and stem loosening: insights from geriatric orthopedics2025