Pelvic Fractures (Subscribe)  

Acetabular Fractures: Diagnosis, Treatment, Indications, Outcome
OTA Basic Fracture Course Highly Reputable

The subject of acetabular fracture surgery has been dealt with at length in the literature. Almost forty years after the first publications by Robert Judet and Emile Letournel, much has been written on either side of the Atlantic; however, there is nothing new in the New World or the Old. Large studies...

The low rate of postoperative complications, the good functional results aside from a few understandable failures, justify continued use of this method. Percutaneous screw fixation is not a goal in itself. It is, in our opinion, more important to stress the quality of the reduction obtained, the percutaneous screw fixation only...

Indication Difficult acetabular fractures with anterior displacement in which access to the entire anterior column is required. This approach allows access to the anterior column as far as the symphysis and includes the quadrilateral plate. Most both-column fractures can also be managed through this approach, but only if the posterior fragment is...

Author: Charles Sheppard, MD, FACEP. 2005
Pelvic fracture is a disruption of the bony structure of the pelvis. In elderly persons, the most common cause is a fall from a standing position. However, the most significant fractures involve significant forces such as a motor vehicle crash or fall from a significant...

Russell & Jarrett 2006 Updated 2009
Operative management of unstable pelvic injuries increased especially recently due to several factors. Improved and coordinated treatment of polytraumatized patients, improved anesthetic techniques including blood salvage systems, advances in intraoperative fluoroscopic imaging techniques, standardized pelvic implant system, and better understanding of injury and deformity...

Author: D Dean Thornton, MD 2007
Pelvic ring fractures occur as the result of high-energy blunt trauma, as in motor vehicle collisions and falls. These injuries are associated with significant morbidity and mortality, both from the complications of pelvic ring fractures and from commonly associated injuries. Recognition of the pattern of...

Thacker, Tejwani & Thakkar 2008 Updated 2009
Fractures of the acetabulum occur primarily in young adults as a result of high-velocity trauma. These fractures are often associated with other life-threatening injuries. Displacement of the fracture fragments leads to articular incongruity of the hip joint that results in abnormal pressure distribution on the...

An algorithm for the management of exsanguinating pelvic trauma Karim, London, UK, May 20, 2008
Introduction Trauma patients who present with unstable pelvic fractures have sustained a high energy injury that is commonly associated with disruption of arteries and veins resulting in major haemorrhage. Patients with pelvic fractures who present in shock have...

Graf & Karunakar 2008
This article focuses on unstable pelvic fractures, which are usually caused by high-energy injuries. The most common high-energy mechanism of injury is a motor vehicle accident. Patients who sustain these injuries not only have the osseous injury but also often have concomitant life-threatening injuries. Younger people are more...

Conclusion: The locking plate construct is as strong as the conventional plate plus interfragmentary lag screw construct for fixing transverse acetabular fractures. Lock- ing plates may improve management of acetabular fractures by eliminating the need for placement of an interfragmentary lag screw. Furthermore, they may be helpful in revision hip...

As a result of reading this article, physicians should be able to: Describe the anatomy and mechanism of injury associated with apophyseal avulsion fractures of the hip and pelvis. List the different stages of nonoperative management in patients with apophyseal avulsion. Discuss the operative treatment options and surgical approaches for treatment of these...

Research indicates that acute open reduction and internal fixation may lead to good outcomes in carefully selected elderly patients with displaced acetabular fractures.
ORTHOPEDICS TODAY September 2009 Good results seen with conventional fixation of geriatric acetabular fractures Early research on the limited ilioinguinal approach indicates less blood loss vs. traditional approach.

Insufficiency fracture is a subgroup of stress fracture. Unlike the other subtype (ie, fatigue fracture), insufficiency fracture is caused by normal or physiologic stress upon weakened bone. Loss of bone trabeculae decreases the bone's elastic resistance.
Awareness is increasing concerning the occurrence of these fractures among older persons. Sites frequently affected...

The most widely used classification of acetabular fractures is that of Letournel and colleagues. This anatomic classification divides all acetabular fractures into elementary and associated types based on the anterior and posterior columns and walls. We report the case of a patient with an isolated quadrilateral plate fracture of the pelvis...