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Orthopedic Trauma Directions 2004; 2(4): 11-18
DOI: 10.1055/s-2004-830988

Acetabular fractures

Open reduction and internal fixation versus total hip arthroplasty
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Publication History

Publication Date:
22 July 2004 (online)

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Summary

These case series on open reduction with internal fixation (ORIF) and total hip arthroplasty (THA) suggest that the type of surgery may not strongly affect the clinical outcome among patients. However, complications such as heterotopic ossification may be increased among ORIF patients compared to THA patients. Differences in study populations, especially age, may influence the outcome independent of the treatment. Studies evaluating THA involved older patients on average than ORIF studies, making conclusions regarding treatment superiority impractical. A randomized control trial might be warranted to provide more conclusive results on this topic.