What is the treatment for a fractured acetabulum?
Surgical Treatment. Most acetabular fractures are treated with surgery. Because acetabular fractures damage the cartilage surface of the bone, an important goal of surgery is to restore a smooth, gliding hip surface.
How do you classify acetabulum fractures?
There are five elementary forms: (1) fractures of the posterior wall of the acetabulum; (2) fractures of the posterior column; (3) fractures of the an-terior wall of the acetabulum; (4) fractures of the anterior column; (5) transverse fractures.
Which radiographic method is useful to diagnose fractures of the acetabulum?
Computed tomography (CT) provides information regarding the extent of the fracture and is complementary to radiography for ascertaining the spatial arrangement of fracture fragments. Three-dimensional (3D) reconstruction of CT data can be helpful in understanding the complex fracture patterns.
How long before I can walk after fractured acetabulum?
Crutches must be used for eight weeks following surgery, but by 12 weeks most people are able to walk unassisted. If they are otherwise in good condition, most people recover fully within four to six months and are able to resume recreational activities at that time.
What is the late complication of acetabular fracture?
Another potential complication with acetabular fracture is avascular necrosis, in which the blood supply to the femoral head is sufficiently damaged or stretched from dislocation that the bone subsequently dies and collapses, resulting in hip pain.
What is acetabulum fracture?
The hip joint is a ball and socket joint. The socket part is lined with smooth cartilage and is called the acetabulum, which is part of the pelvis. When the socket is fractured, it is called an acetabular fracture. Such fractures are far less common than fractures to the ball part of the joint.
What is an anterior acetabular fracture?
Anterior wall fractures: An anterior wall acetabular fracture is a break in the front column of bone or area around the bony rim (wall) of your hip socket.
What is the danelius Miller method?
The Danelius-Miller method is performed with the detector/image receptor positioned parallel against the affected leg. The primary beam is directed perpendicular to the affected femoral neck region, entering the medial aspect and exiting the lateral aspect of the affected leg.
Is acetabular fracture serious?
Acetabular (hip socket) fractures are serious orthopedic injuries, usually resulting from significant trauma. Acetabular fracture surgery realigns and stabilizes the displaced joint surfaces while allowing the patient to avoid traction and prolonged bedrest.
What is a both column acetabular fracture?
Abstract. Purpose of the study: Both column fractures, defined as an acetabular fracture with no articular fragment in connection with the axial skeleton account for approximately 20% of all acetabular fractures. The typical type of a both column acetabular fracture is the C1.
What is Clements Nakayama method?
The Clements-Nakayama view of the hip is a highly specialized lateral projection utilized on patients with bilateral femoral fractures, or patients unable to mobilize due to postoperative requirements.
What is the treatment for an acetabular fracture?
Treatment for acetabular fractures often involves surgery to restore the normal anatomy of the hip and stabilize the hip joint. The hip is one of the body’s largest joints. It is a “ball-and-socket” joint. The socket is formed by the acetabulum, which is part of the pelvis.
What is acetabular fracture of the hip?
An acetabular fracture is a break in the socket portion of the “ball-and-socket” hip joint. These hip socket fractures are not common — they occur much less frequently than fractures of the upper femur or femoral head (the “ball” portion of the joint). The majority of acetabular fractures are caused by some type of high-energy event,
What is the pathophysiology of acetabulum fracture?
A fracture of the acetabulum can be associated with late morbidity referable to the development of osteoarthritis. The force exerted by this high impact fall drives the femoral head into the acetabulum like a hammer. For this reason, other musculoskeletal injuries can’t be overlooked, f.e.
Do you need a CT scan for acetabular fracture?
Because of the complex anatomy of the pelvis, a CT scan is commonly ordered for acetabular fractures. The scan will provide your doctor with a more detailed, cross-sectional image of your hip and can be helpful in preoperative planning. How is an acetabular fracture treated?