Associated both-column acetabular fracture: An overview of operative steps and surgical technique |
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| Institution: | 1. Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brazil;2. Clínica São Vicente, Rede D’or São Luiz, Rio de Janeiro, RJ, Brazil;3. Department of Trauma and Orthopaedic Surgery, Brunel Building, Southmead Hospital, Bristol, BS105NB, UK;4. Departamento de Ortopedia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil;5. Academic Department of Trauma & Orthopaedic Surgery, School of Medicine, University of Leeds, Leeds, UK;1. Department of Orthopaedics PGIMER, Chandigarh, India;2. Department of Pulmonary Medicine PGIMER, Chandigarh, India;3. Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India;4. Department of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India;5. Department of General Surgery PGIMER, Chandigarh, India;1. Department of Orthopedics, Lady Hardinge Medical College and Associated Hospitals, N Delhi, India;2. Department of Orthopedics, All India Institute of Medical Sciences and Associated JPN ApexTrauma Centre, New Delhi, India;1. Department of Orthopaedics, Nil Ratan Sarkar Medical College and Hospital, 138 AJC Bose Road, Kolkata, 700014, West Bengal, India;1. Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India;2. Dept. of Orthopaedics, Max Hospital, Mohali, Chandigarh, India;3. Dept. of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, India;4. Dept. of Biostatistics, Punjab University, Chandigarh, India |
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| Abstract: | The management of both-column fractures of the acetabulum is challenging for the orthopaedic surgeon. Operative treatment is usually recommended in this particular fracture pattern, as residual joint surface displacement has been shown to increase local contact stress, drastically leading to rapid cartilage destruction. In this review, we present an overview of operative steps and surgical technique for both-column acetabular fracture reconstruction. Therefore, we demonstrate how correct understanding of fracture morphology and displacement, preoperative preparation, including choice of approach and patient positioning, reduction strategies, and programmed sequential fixation, starting from superior fracture lines on the anterior acetabular column and ending on the posterior components of this fracture type, may provide satisfactory outcomes in this difficult acetabular fracture pattern. |
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| Keywords: | Both-column acetabular fracture Acetabular fracture Hip fracture Approach to the acetabulum |
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