![]() ![]() This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". ![]() The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. Nerve injury, mainly to the sciatic or obturator nerves, is fortunately less common. ComplicationsĬomplications following acetabular fractures include secondary osteoarthritis and venous thromboembolism. As a general rule, anterior approaches are used for fractures with more anterior displacement and posterior approaches (such as Kocher-Langenbeck) are used for fractures with more posterior displacement. There are many surgical approaches to the acetabulum, the choice which is determined by the fracture pattern. In more elderly patients, fracture fixation may be performed as a precursor to total hip replacement, performed either as a single-stage or a two-stage procedure. In young patients with displaced fractures, surgery is usually performed to restore the anatomy of the joint surface and pelvic stability. Figure 4 - Axial view CT scan of a left complex comminuted acetabular fracture, involving both anterior and posterior columns Surgical Management Undisplaced or minimally displaced acetabular fractures can be managed conservatively with protected weight bearing for 6-8 weeks. Any associated hip dislocation should be reduced urgently if there is significant joint incongruity, to help minimise further damage to the acetabulum. In contrast to pelvic ring injuries, major haemorrhage is unusual and a pelvic binder is not indicated (except in cases of combined pelvic and acetabular fractures). Initial management of a patient with high energy trauma follows the ATLS guidelines and should always begin with a primary survey to identify life-threatening injuries Associated = posterior wall + posterior column, transverse + posterior wall, T-type, anterior column + posterior hemitransverse, both columns.Elementary = posterior wall, posterior column, anterior wall, anterior column, transverse.The Judet and Letournel classification for acetabular fractures groups acetabular fractures into two groups, either elementary fractures or associated fractures: Figure 3 - An acetabular fracture (arrow) as seen on plain film radiograph in AP view Classification ![]()
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