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)…
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)…
Anterior Wall Fractures
Fracture Characteristics Definition Fractures of the anterior wall are partially articular fractures, characterized by an isolated fracture fragment around the iliopectineal eminence, which consists of a broad part of the…
Surgical Anatomy
Bones and Ligaments According to Rouvièr, the innominate bone, the hemipelvis (▶ Fig. 1.1) consists of two columns. Understanding this column principle is the basis for acetabular fracture classification according…
Posterior Column Fractures
Fracture Characteristics Definition Posterior column fractures, a partially articular fracture, are characterized by a complete separation of the posterior column from the acetabulum (▶ Fig. 9.1, ▶ Fig. 9.2, ▶…
Associated Posterior Column and Posterior Wall Fractures
Fracture Characteristics Definition Associated fractures of the posterior column and posterior wall are partially articular fractures, characterized by a combination of a classical posterior column fracture and posterior wall fragment(s)….
Indications and Planning
The majority of acetabular fractures should be treated operatively as this leads to the best long-term results.1 In some fracture types, conservative treatment is suitable if certain parameters are considered….
Classification of Acetabulum Fractures
Historical Development Historically, fractures of the acetabulum were classified as part of traumatic hip dislocations or as an addition to femoral fractures.6,7,8,9,10 Armstrong distinguished hip dislocations with an additional femoral…
Periprosthetic Acetabular Fractures
Several risk factors were identified for periprosthetic acetabular fractures. These include significant osteoporosis and other impairments of bone quality, the local individual anatomy with potential periacetabular bone defects, osteolysis, rheumatic…
Outcome Scoring
Outcome measurements following acetabular fractures should be standardized using established outcome scores. The goal of treating acetabular fractures is the restoration of a pain-free range of motion (ROM) of the…
