classification of acetabular fractures
TRANSCRIPT
CLASSIFICATION OF ACETABULAR
FRACTURESDr. Ayesha Mughal
INTRODUCTION: Described Judet and Letournel. Most commonly used system. Two basic types:Simple fracture type.Associated fracture type.
SIMPLE FRACTURE: Isolated fracture of one wall or column.
SIMPLE FRACTURE TYPES: Posterior wall fracture. Posterior column fracture. Anterior wall fracture. Anterior column fracture. Transverse fracture.
ASSOCIATED FRACTURES: More complex fracture geometry.
T-type fractures. Combined fracture of posterior column and wall. Combined transverse and posterior wall fracture. Anterior column and posterior hemitransverse fracture. Both column fracture.
CLASSIFICATIN OF HIP DISLOCATION: Based on:Relationship of femoral head to acetabulum.Associated fractures.
THOMAS AND EPSTEIN CLASSIFICATION: Type I: Posterior dislocation with or without an insignificant posterior wall fragment. Type II: Dislocation associated with single large posterior wall fragment. Type III: Dislocation with comminuted posterior wall fragments.
CONTINUED……… Type IV: Dislocation with fracture of the acetabular floor. Type V: Dislocation with fracture of the femoral head.
