J Korean Hip Soc.  2010 Jun;22(2):116-121. 10.5371/jkhs.2010.22.2.116.

Treatment for the Acetabular Fracture

• Kim WY

• KMID: 1461132
• DOI: http://doi.org/10.5371/jkhs.2010.22.2.116

Abstract

The acetabulum is the socket of the hip joint and incongruence of the joint surface caused by fracture causes hip pain and posttraumatic arthritis. The usual choice of treatment for displaced acetabular fracture is operative treatment, which entails a challenging, stiff learning curve. The principle of treatment is restoring the stable and congruent hip joint for early mobilization to prevent local and systemic complications.

Keyword

Acetabular fracture; Treatment

MeSH Terms

Acetabulum
Arthritis
Early Ambulation
Hip
Hip Joint
Joints
Learning Curve

Figure

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  Fig. 1 AO comprehensive classification.

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  Fig. 2 (A) A 71 year-old male with a T-shaped acetabular fracture and severe impaction due to osteoporosis was performed primary total hip arthroplasty with a flanged acetabular cup after fixation of posterior column and (B) reinforcement with mesh cage and autogenous bone graft from own femoral head.

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  Fig. 3 This picture shows the interfragmental fixation with a columnar screw, posterior columnar or ilioischial screw.

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  Fig. 4 This picture shows an anterior columnar or iliopubic screw.

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  Fig. 5 (A) Postoperative radiograph and (B) CT scan of 31 Year-old male patient with an anterior column & posterior hemitransverse acetabular fracture show an anatomical reduction and fixation by a posterior plate and percutaneous anterior columnar screw with Kocher-Langenbeck approach.

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  Fig. 6 (A) A simple radiograph of a 16-year-old male with T-shaped acetabular fracture. (B) 3D CT shows pattern of the fracture and (C) a postoperative film shows an anatomical reduction and plate fixation with a combined anterior and posterior approach.

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