Abstract
BackgroundManagement of anterior column acetabular fracture in the elderly is challenging. Open reduction and internal fixation do not allow early weight-bearing and are associated with a high risk of failure compared to younger patients. Therefore, acute fixation and total hip arthroplasty may be an option. Material and methodThis technical note describes a combined procedure: anterior intrapelvic approach for fracture fixation and a direct anterior approach to the hip for THR. ResultsFracture reduction and arthroplasty were achievable in all five patients. The mean operative time was 289min, and the mean blood loss was 2120mL. At short term, no complication was noticed. ConclusionCombining these two “muscle-sparing” approaches could help manage anterior column fractures in elderly patients. Level of evidenceIV.
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