Objectives: To report functional outcomes of displaced acetabular fractures treated nonoperatively in the geriatric patient population. Design: Retrospective case series. Setting: Two Level I trauma centers. Patients: Twenty-seven patients 60 years of age or older who sustained displaced acetabular fractures during an 11-year period. Intervention: Nonoperative treatment. Main Outcome Measurements: Primary outcome measurements were Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and Short Form 8 (SF-8) scores. Secondary outcome measurements were conversion to open reduction and internal fixation or total hip arthroplasty and 1-year mortality. Results: Twenty-six patients completed the WOMAC and SF-8 surveys. The overall WOMAC score was 12.9 ± 15.6 (range, 0- 59.4). The average physical SF-8 was 51.1 ± 8.7 (range, 30.4-58.6), and the average mental SF-8 was 55 ± 6.2 (range, 30.4-58.6). The 1-year mortality rate was 24%. Conversion of treatment occurred in 15% of patients. Conclusions: Elderly patients with fracture patterns that would qualify for operative treatment in younger healthy patients had surprisingly good outcome scores when treated nonoperatively.
- Acetabular fractures
- Elderly patient population
- Nonoperative treatment
ASJC Scopus subject areas
- Orthopedics and Sports Medicine