Professional Documents
Culture Documents
Acetabular Fractures
Recorded problems :
– Articular impaction 6
– Dislocation of the hip 13
– Comminuted Anterior or
posterior-wall fractures 17
– Injury to the femoral head 7
– Presence of OA 16
Treatment Goals
• To obtain painless mobile stable life lasting
hip
• To get ambulant patient with less pain as
soon as possible
• To avoid 2nd go surgery
• To avoid DVT & thromboembolism and
other recumbancy complications
For the sake of treatment line
choice and preoperative planning
The different types are
divided into groups
according to bone quality
and hip condition
Bone Quality : Hip join clinical condition :
Indications
• All non displaced
fractures
• Minimally displaced (less
than 2 mm)
• Displaced low anterior
column, low transverse or
low T- fracture
• Unfit patients
Conservative Treatment
IF NOT
2nd - Acute THR ( n=16 )
IF NOT
3rd – Delayed THR ( n= 8 )
Considering the first option :
Geriatric Pt does not differ from young
Reconstruction of the
acetabulum anatomically
by open reduction and
internal fixation
• Is considered a salvage
of unsatisfactory result
after conservative
treatment
• Segmental and cavitary
acetabular defects
usually result after
neglected acetabular
fractures and should be
grafted
Option 3 Delayed THR