classification of acetabulum fracture

1. CLASSIFICATION OF
ACETABULAR FRACTURES
Dr. Ayesha
Mughal

2. INTRODUCTION:
Described Judet and Letournel.
Most commonly used system.
Two basic types:
 Simple fracture type.
 Associated fracture type.

4. SIMPLE FRACTURE:
Isolated fracture of one wall or column.

5. SIMPLE FRACTURE TYPES:
Posterior wall fracture.
Posterior column fracture.
Anterior wall fracture.
Anterior column fracture.
Transverse fracture.

6. ASSOCIATED FRACTURES:
More complex fracture geometry.

7. 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.

9. CLASSIFICATIN OF HIP
DISLOCATION:
Based on:
Relationship of femoral head to acetabulum.
Associated fractures.

10. 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.

11. CONTINUED………
Type IV: Dislocation with fracture of the
acetabular floor.
Type V: Dislocation with fracture of the femoral
head.