anterior column fracture with posterior hemitransverse in an 82 year old male

anterior column is displaced with an essentilly undispalced hemitransverse fracture as described by letournel.

would you fix it or treat him conservatively

or fix and repalce it ?

He was advised PTH for severe porosis 2 years before> it was deferred by the patient due to percieved immediate cost.

This patient was advised antiresorptive therapy 2 years ago. He refused and paid the price. We fixed the posterior column and used a ganz cage to cement a cup.. the trochanrteric flip was used to improve exposure. A single screw was used to stabilse the anterior column thru the cage . He was mobilised on day 3 PWB. Awaiting for the six week review.