Comparing Surgical Fixation Alone Versus Hip Replacement Plus Fixation for Hip Socket Fractures in Adults 60 and Older

What this Trial Is About

Researchers are studying the management of acetabular hip fractures in adults aged 60 years and older, focusing on the challenges posed by pre-existing medical conditions, osteoporosis, and increased mortality risk. The study compares two surgical options open reduction internal fixation ORIF alone versus ORIF combined with acute primary total hip arthroplasty THA. This observational cohort study involves multiple Canadian academic institutions affiliated with the Canadian Orthopaedic Trauma Society COTS. Participants will receive either ORIF alone or ORIF combined with THA, based on surgeon discretion. These treatments are part of their standard surgical care following an acetabular fracture, which is an acute, displaced fracture requiring surgery. After surgery, patients will be followed for up to 24 months, with assessments at 6 weeks, 3, 6, 12, and 24 months. During follow-up, patients will complete questionnaires such as the Oxford Hip Score to measure pain and function, the EQ-5D to assess quality of life, and undergo the Timed Up & Go test to evaluate mobility and fall risk. Additional outcomes include pain levels, morphine usage, hospital stay length, discharge location, time to weight-bearing, return to work or daily activities, and hospital readmission rates. Data collected will help assess recovery and physical function after these surgical treatments.

Geriatric Acetabular fracTures: Open Reduction Internal Fixation Versus Replacement