Decision Making in Acetabulum Fractures – When to Operate and When Not to?
Journal Title: TRAUMA INTERNATIONAL - Year 2017, Vol 0, Issue 0
Abstract
he complexity of acetabulum fractures has always been challenging to the operating surgeon. In the past 50 years, following pioneering work by LeTournel and Judet, there is better clarity to the treating surgeon regarding the management of these fractures. 3D computerized tomography imaging has helped surgeons understand the fracture better andit remains the investigation of choice. Roof-arc angle measurements and the percentage of the fracture involving the superior dome are important determinants in deciding whether to operate or treat conservatively. Nonoperative management is mainly for undisplaced fractures and patients not fit for surgery. Fluoroscopy under anesthesia to check for hip joint stability and percutaneous screw fixation are new upcoming management modalities. The approaches described by LeTournel and Judet – Kocher-Langenbeck, Ilioinguinal, Iliofemoral, and extended Iliofemoral – remain the “gold standard” for appropriate fractures, but the availability of newer alternative approaches have expanded over time thereby facilitating surgeons to operate better.
Authors and Affiliations
Raja Bhaskara Kanakeshwar, Ramesh Perumal, C Arun Kamal, J Dheenadhayalan J Dheenadhayalan
Keywords
Related Articles
- EP ID EP631492
- DOI -
- Views 85
- Downloads 0
A Rare and Atypical Case Report of Combined Rupture of Patellar Tendon, Anterior Cruciate Ligament, Medial Collateral ligament, and Lateral Meniscus Managed Operatively
Introduction: Extensor mechanism disruption with other ligament injuries at knee is rare. Rupture of the patellar tendon (PT) usually occurs at the inferior pole of patella leading to proximal retraction of 3–5 cm due to...
Open bilateral tibial shaft fracture: Case Report
Introduction: Leg shaft fractures are common, usually requiring a complex treatment, especially when they are open fractures. Case Report: This case report describes the presentation, surgical approach, and complication...
Role of Antibiotic Cement-coated Nailing in Infected Nonunion of Tibia
Introduction: The infection of long bones along with its nonunion is a chronic and debilitating disorder. It becomes difficult to deal with the situation in which the implant which is used for internal fixation itself be...
A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause
Introduction: Primary hyperparathyroidism is a disease characterized by hypercalcemia attributable to autonomous overproduction of PTH ParaThyroid Hormone.Primary hyperparathyroidism PHPT is prevalent in approximately 1%...
Decision Making in Acetabulum Fractures – When to Operate and When Not to?
he complexity of acetabulum fractures has always been challenging to the operating surgeon. In the past 50 years, following pioneering work by LeTournel and Judet, there is better clarity to the treating surgeon regardin...