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Case Discussion
Acetabular fracture

Mr. A. C . Mageza
ACETABULAR ANATOMY

3
37 yr/Male

MVC

Restrained

Ass Rt Greater tuberosity frx

Hemodynamically stable
RADIOLOGY
• Plain xray:-

◼ AP view

5
 CLASSIFICATION
ELEMENTARY
◼ posterior wall
◼ Posterior column
◼ Anterior wall
◼ Anterior column
◼ Transverse

ASSOCIATED
◼ Posterior column +posterior wall
◼ Transverse + Posterior column
◼ Anterior column/wall + Post
hemitransverse
◼ T-Shaped
◼ Both column
8
Kocher Langenbeck approach
• Rehabilitation protocol

• What complications do you expect?

3Months Post Op
• Brookers classification

• How do you prevent HO?

• When do you decide to excise HO?

Take home message

• A thorough understanding of pelvic anatomy is mandatory

• Think in 3-Dimentional

• Order appropriate images

• Develop a system when analysing the radiological studies

• Anticipate complications and prevent / address them