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…
Femoral Head Fractures: Pipkin IV
Several classification systems are available regarding femoral head fractures. The most commonly used classification system is that of Pipkin (▶ Table 24.1), which is based on standard radiographic analysis without…
Acetabular Fractures in Children
Epidemiology Injuries of the pediatric acetabulum or triradiate cartilage are rare entities.1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16 Diagnostics and therapy are correspondingly inconsistent. Thus, the majority of early publications were only case reports.10,17,18,19,20 Overall, the…
Epidemiology
Epidemiological data on acetabular fractures are useful for preoperative planning, patient information, to determine the risk of adverse results regarding complications, and to determine fracture- and injury-related outcomes. The heterogeneity…
Fractures in the Elderly
Epidemiology Acetabular fractures in elderly patients are becoming more important. Treatment decisions can be difficult in this age group as bone quality is often reduced, making operative procedures more demanding….
Heterotopic Ossifications
Development of heterotopic ossifications after surgical treatment of acetabular fractures can result in considerable functional losses and are among the most frequent, clinically relevant reported complications. Their risk factors and…
Thromboembolic Complications
Thromboembolic complications can be life threatening. Their frequencies, the type of diagnostics, and the therapeutic and prophylactic regime are still under discussion. Deep vein thrombosis (DVT) and/or pulmonic embolisms (PE)…
