Radiological Diagnostics

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Radiological Diagnostics

The standard radiological diagnostics of acetabulum fractures include conventional X-rays including an anteroposterior (AP) view of the hip; the whole pelvis (pelvic AP view); and oblique views according to Judet…

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Approaches

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Approaches

Historical Development Historically, open reduction and internal fixation of displaced acetabular fractures was performed using a few standard approaches: Kocher-Langenbeck approach Ilioinguinal approach Extended iliofemoral approach Several modifications were developed…

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Special Screws and Views

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Special Screws and Views

Intraoperatively, the gold standard to analyze the results of reduction and fixation during acetabular fracture fixation is fluoroscopic X-ray views. Despite the ongoing discussion, if Judet views are still necessary…

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Both-Column Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Both-Column Fractures

Fracture Characteristics Definition Both-column fractures are complete articular fractures and are characterized as having no part of the articular surface connected to the axial skeleton (floating acetabulum). Both-column fractures are…

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Posterior Wall Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Posterior Wall Fractures

Fracture Characteristics Definition A posterior wall fracture is a partially articular fracture, characterized by a fracture of the posterior acetabular joint surface, without involvement of the entire posterior column. Posterior…

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Anterior Column Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Anterior Column Fractures

Fracture Characteristics Definition Anterior column fractures are partially articular fractures, characterized by a fracture line typically starting at the inferior pubic ramus extending cranially up to the iliac fossa, often…

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Associated Anterior Column Plus Posterior Hemitransverse Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Associated Anterior Column Plus Posterior Hemitransverse Fractures

Fracture Characteristics Definition Associated anterior column/wall plus posterior hemitransverse fractures are partially articular fractures with a transverse fracture component, characterized by an anterior segmental fracture (wall) or a separation of…

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Pure Transverse Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Pure Transverse Fractures

Fracture Characteristics Definition Pure transverse fractures are partially articular fractures with a transverse fracture component, characterized by a horizontal fracture line dividing the acetabulum into an upper (ilium) and a…

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T-Type Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on T-Type Fractures

Fracture Characteristics Definition T-type fractures are partial articular fractures and are characterized by a simple transverse fracture line dividing the acetabulum into an upper (iliac) segment and a lower (ischiopubic)…

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Transverse plus Posterior Wall Fractures

Oct 23, 2019 by in ORTHOPEDIC Comments Off on Transverse plus Posterior Wall Fractures

Fracture Characteristics Definition Associated transverse fractures plus posterior wall fractures are partial articular fractures and are characterized by a simple transverse fracture line dividing the acetabulum into an upper (iliac)…

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