The Judet and Letournel classification is the most widely used classification system for acetabular fractures. It classifies acetabular fractures into ten major fracture patterns, which consist of five simple patterns and five complex patterns 1,2.
Acetabular fracture classification The Judet and Letournel system for acetabular fractures is the most widely used classification system in clinical practice 2). It classifies fracture based on oblique pelvic view on plain radiographs.Acetabular fracture; Acetabular fracture as seen on plain X-ray: Fractures of the acetabulum occur when the head of the femur is driven into the pelvis.This injury is caused by a blow to either the side or front of the knee and often occurs as a dashboard injury accompanied by a fracture of the femur. The acetabulum is a cavity situated on the outer surface of the hip bone, also called the.The majority of acetabular fractures are caused by some type of high-energy event, such as a car collision. Many times patients will have additional injuries that require immediate treatment. In a smaller number of cases, a low-energy incident, such as a fall from standing, may cause an acetabular fracture in an older person who has weaker bones.
The fracture classification system developed by Judet and Letournel is the most widely accepted system; it differentiates fractures into ten types, five elementary fractures and five associated fractures based on observations from plain radiographs. 5-7 Adequate treatment of acetabular fractures requires an accurate definition of the type of fracture, the degree of comminution, and the.
The cohort of acetabular fracture patients included 50 men and 24 women with a mean age of 52 years (SD, 12 years) and median followup of 8 years (range, 2-23 years). Patients with a previous acetabular fracture required a THA at a median time of 4 years (range, 1-24 years). Each study patient was matched to a control patient.
Disrupted symphysis, sacral fracture or disrupted SI joint allowing one hemipelvis to displace superiorly Associated with fall from height, landing on one leg References.
The classification of pelvic ring and acetabular fractures is. transsacral fracture dislocation Pelvis, ring, unstable, bilateral, ipsilateral complete, contralateral incomplete (LC-III) (61-C2). Pelvis, acetabulum, partial articular, transverse posterior hemitransverse, anterior column (62-B3).
A summary of diagnosing the fracture classification based on x-ray and CT images is presented in section Patient assessment. The section Radiology of the intact acetabulum provides explanation of the radiologic landmarks. The section Characteristics of elemental fracture types provides further information on the radiology of transverse fractures.
Acetabular Fracture Arthroscopic Fixation All Topics: Acetabular Fracture Biologics for Trauma Bone Graft Harvest Femoral Neck Fracture Ilioinguinal Approach Implant Materials Intertrochanteric Fractures Intertrochanteric Hip Fracture Pathological Hip Fracture Pelvic Fractures Periprosthetic Fracture Hip Sacral Fractures Symphysis Pubis Wound Care.
BackgroundThe Letournel and Judet classification system is commonly used for classifying acetabular fractures. However, for orthopaedic surgeons with less experience with these fractures, correct classification can be more difficult. A stepwise approach has been suggested to enhance the inexperienced observer’s ability to properly classify acetabular fractures, but it is unclear whether this.
Pelvic bone metastases are a growing concern in the field of orthopedic surgery. Patients with pelvic metastasis are individually different with different needs of treatment in order to attain the best possible quality of life despite the advanced stage of disease. A holistic collaboration among the oncologist, radiation therapist, and orthopedic surgeon is mandatory. Special attention has to.
Acetabulum periprosthetic fractures are rare, but are increasing, due to increase in high-energy trauma and a decrease in mortality index. Reconstruction of an acetabular fracture, in the presence of hip arthroplasty can be very complex and represents a real challenge for orthopedic surgeon.
HealthTap: Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Tressler on acetabular fracture classification: There are many causes of non healing fracture. Infection or was it displaced? Do you have osteoporosis? Do you smoke?Did you have another injury? Talk to your orthopedics dr.
Acetabular fractures are produced by high energy injuries that often cause dislocation of the fragments with gaps and steps (Olson et al., 1997). The goal of operative treatment of such fractures is to restore acetabular anatomy with perfect fragment reduction and stable xation in order to enable early joint movement (Letournel and Judet, 1993).
This Denis classification system and its modifications are well accepted and one of the most recognized worldwide. 2 In 1988, Denis et al. created a classification system for sacral fractures based on the direction, location, and level of the fracture. 5 It was developed through sacral anatomical dissections on 39 cadavers and a retrospective study in which a series of 236 consecutive cases of.
In this group of acetabular fractures, an anterior column or wall fracture is associated with a posterior hemitransverse fracture. In addition, the femoral head is usually medially subluxed. Variations in this fracture pattern are based on whether the anterior column fracture exits at the iliac crest or inferior to the anterior inferior iliac spine.
You can also scroll through the respective interactive atlases to view an example of each fracture on CT in the different orientations. After a summary of the key points of this module, take the quiz again to assess your understanding of the Letournel-Judet classification of acetabular fractures.