Acetabular Fracture

Acetabular Fracture

An often complex fracture which can be divided into two broad clinical groups based on the patient’s age and energy of impact, with high energy fractures being more common in younger patients and often linked to vehicular accidents and low energy fractures occurring in older patients. The acetabulum is anatomically comprised of two columns (anterior and posterior) and two walls (anterior and posterior); these form the basis of fracture anatomy which Letournel and Judet divided into:
Simple (elementary) type
Anterior wall
Anterior column
Posterior wall
Posterior column
Transverse
Associated types
T-shaped
Anterior wall/column plus posterior hemitransverse
Transverse plus posterior wall
Posterior column plus posterior wall
Both-columns
Classification The Universal Comprehensive Classification has received the approval of the International Society of Orthopaedic Surgery and Traumatology (SICOT) and other bodies and can be used to compare cases at different centres.
Management Integrity of the joint is essential to minimise future dysfunction; if closed reduction fails, open reduction is required and entails anatomic reduction, which is not always successful.
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References in periodicals archive ?
If an obvious large, displaced acetabular fracture is found, the stability examination need not be performed.
Injury of the femoral nerve associated with acetabular fracture.
These 8736 patients represent 93% of the identified cohort of adult patients treated with open reduction and internal fixation for their pelvic or acetabular fracture.
was diagnosed with left acetabular fracture and humerus fracture of his left arm.
Sacroiliac disruption, acetabular fracture on left side.
The complication profile was even higher in another study evaluating complications of acetabular fracture surgery in morbidly obese patients (BMI [greater than or equal to] 40) [19].
Traumatic hip dislocation with associated femoral neck fracture in the absence of an acetabular fracture is a rare and challenging injury.
OTS2 USE OF INTERIOR VENA CAVAL FILTERS IN HIGH RISK PELVIC AND ACETABULAR FRACTURE
At that time, he underwent open reduction internal fixation of a markedly displaced and comminuted T type acetabular fracture with involvement of the posterior wall of the acetabulum.
Fellowships abroad included orthopedic reconstructive surgery in Basel, Switzerland, and pelvic and acetabular fracture fixation and reconstruction in Paris.