Management of Geriatric Acetabulum Fracture - A Case Report

Area of Science:

• Orthopedic Surgery
• Geriatric Trauma
• Fracture Management

Background:

• Geriatric acetabular fractures from low-energy trauma are an increasing orthopedic challenge.
• Osteoporotic bone complicates fracture fixation and rehabilitation in elderly patients.

Observation:

• A 63-year-old male with a complex, comminuted acetabular fracture (osteoporotic, medial dome impaction, quadrilateral plate involvement) was treated.
• The fracture was surgically repaired using a modified Stoppa approach with suprapectineal plating.

Findings:

• Anatomical reduction and stable fixation were achieved using the modified Stoppa approach.
• An accelerated rehabilitation protocol enabled full weight-bearing by six weeks post-operation with radiographic union.

Implications:

• This approach offers a viable strategy for managing complex geriatric acetabular fractures.
• Early weight-bearing is feasible and safe, improving outcomes for elderly trauma patients.
• The findings support accelerated mobilization in geriatric fracture care.