412 Operative Fixation for Acetabular Fractures in the Elderly: A Prospective Cohort Study from a UK Major Trauma Centre

Abstract

Abstract Aim Due to an ageing population, acetabular fractures in the elderly is on the rise. Management of this group of patients remains controversial especially as it is associated with high morbidity and mortality. With an ageing population, there will be an increasing trend in low energy associated acetabular fractures. We present the largest cohort of operatively treated acetabular geriatric patients in the UK and compare different and emerging operative techniques and technology. Method A review of a prospective pelvic database was conducted. All patients over the age of 60 that had an operative fixation for an acetabular fracture from 2015 to 2020 were identified. Demographic data, operative data and complications were recorded. Length of stay and in-hospital mortality were also included. Results 109 patients were included in the study. The mean age was 73 and the mean Injury severity score was 13. The most common mechanism of injury was a fall from less than 1 meter (42%). The mean length of stay is 25 days. In-hospital mortality was 2% and 92% of patients had no in-hospital postoperative complication. A variety of metalwork was used ranging from sacroiliac screws to pelvic infix. Conclusions Advancements in orthopaedic implants have changed the management of geriatric acetabular fracture patients.