Fractures of acetabulum
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This document discusses fractures of the acetabulum, or hip socket. It describes the different patterns of acetabular fractures including anterior wall, anterior column, posterior wall, posterior column, and transverse column fractures. Emergency treatment involves reducing dislocations and applying skeletal traction. Non-operative treatments include walking aids, positioning aids, and medications. Operative treatments include open reduction and internal fixation or total hip replacement, performed a few days later once the patient is stable. Complications can include iliofemoral venous thrombosis, sciatic nerve injury, heterotopic bone formation, avascular necrosis, and secondary osteoarthritis.
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This slide includes general principles of fracture management. This is just a basic idea. I have tried to include figures as well as videos. But unfortunately videos wont play here.
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Dear all,
This ppt contains the cause, types, clinical and radiological features, treatment and complication of dislocation of the shoulder. I hope this is useful to you.
Thank you
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Shoulder dislocation with physiotherapy management
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Fractures of acetabulum
- 2. • Occurs when the head of the femur is driven into the pelvis. • Combine with complexities of pelvic fractures and joint disruption
- 3. Patterns of the fracture • 1. Anterior wall • 2. Anterior column • 3. Posterior wall • 4. Posterior column • 5. Transverse column • 6. T-shaped fracture
- 4. Clinical features • Severely shocked • Severe pain • Bruising around the hip and limb • No attempt should be made to move the hip • Do neurological exam
- 5. Imaging • At least 4 x-ray views – AP view – Pelvic inlet view – Two 45 degrees oblique view
- 7. Emergency treatment • The first priority is to counteract shock and reduce a dislocation. • Skeletal traction is then applied to the distal femur (10 kg will suffice) and during the next 3–4 days the patient’s general condition is brought under control. • Occasionally, additional lateral traction through the greater trochanter is needed for central hip dislocations.
- 8. Non-operative treatment • Walking aids. To avoid bearing weight on your leg: use crutches or a walker for up to 3 months—or until your bones are fully healed. • Positioning aids. May restrict the position of your hip, limiting how much you are allowed to bend it. A leg-positioning device, such as an abduction pillow or knee immobilizer. • Medications. NSAID, an anti-coagulant
- 9. Operative treatment • Timing of surgery – few days until stable • ORIF • THR