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…
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…
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…
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…
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…
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…
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…
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…
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)…
