Fractures of the Acetabulum Classification and Surgical Approaches for Open Reduction Form
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People also ask
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What is the surgical approach for acetabular fracture?
Generally, the operative approaches to the acetabulum fractures can be classified into anterior, posterior, extensile and combined approaches. Those fractures with the main anterior displacement are approached anteriorly, while those with the main posterior displacement are approached posteriorly. -
What is the most common type of acetabular fracture?
The isolated posterior wall fracture (Fig. 9) is one of the most common types of acetabular fracture, with a prevalence of 27% [8]. An isolated posterior wall fracture does not have a complete transverse acetab- ular component. -
What is the modified stoppa approach for acetabular fracture?
The modified Stoppa or AIP approach to the acetabulum provides anatomic exposure that can be used for direct access to the pelvic brim, posterior column of the acetabulum, and the quadrilateral surface. The improved visualization provided by this approach facilitates fracture reduction and stabilization. -
What is the acetabulum Kocher-Langenbeck approach?
The Kocher-Langenbeck approach is the workhorse for the reduction and fixation of hip fractures that require fixation via a posterior approach1,2. It provides direct access to the outer surface of the posterior column and posterior wall and indirect access to the superior wall and quadrilateral surface. -
What is the classification of transverse acetabular fracture?
Classification of transverse fractures Transtectal - dividing the roof of the acetabulum (yellow fracture line) Juxtatectal - dividing the fossa acetabuli and the roof (red fracture line) Infratectal - cutting the fossa acetabuli in the middle (brown fracture line) -
Is an acetabular fracture considered a pelvic fracture?
Acetabulum fractures are pelvis fractures that involve the articular surface of the hip joint and may involve one or two columns, one or two walls, or the roof within the pelvis. -
How serious is an acetabular fracture?
If you have an acetabular fracture, you should see your healthcare provider right away. Acetabular fractures usually require surgery to repair. Acetabular fractures are severe injuries, and they also come with a likelihood of complications. -
What is the surgical approach for acetabulum fracture?
The Kocher-Langenbeck approach is an approach to the posterior structures of the acetabulum. It allows direct visualization of the posterior column and the retroacetabular surface. The dorsocranial articular acetabulum is also accessible either through the fracture gap or after a capsulotomy. -
What is anterior approach of acetabulum?
This anterior approach provides access to the iliac crest, the entire internal iliac fossa, and the most lateral sacral ala. This is limited by the L5 nerve root on the anterior aspect of the ala. The exposure incorporates full visualization of the anterior aspect of the SI joint, if needed. -
What is acetabulum fracture classification?
In this article, the five most common acetabular fractures are reviewed: both-column, T-shaped, transverse, transverse with posterior wall, and isolated posterior wall.
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