Acetabular Fractures
By: Mallory Roelke
Ashley Van Genderen
Lisa Vander Plaats
Overview
• Acetabulum fractures are one of the most
serious injuries treated by orthopedic
surgeons
• Requires rapid and p...
Causes
• Result of a motor vehicle accident
• Bad fall
• Osteoporosis in elderly patients
pathophysiology
• The femoral head is driven through the acetabulum
due to traumatic injury and the femoral head ends
up o...
Signs and Symtoms
• Intense pain in injured area
• Swelling
• Obvious deformity
• Difficulty with ROM
• Inflammation signs...
Facts
• Almost all patients always experience serious
injury to surrounding soft tissue and
neurovascular structures
• The...
Treatment
• Most patients will require and
open reduction with internal
fixation.
• Surgeon realigns the bone
precisely as...
Complication Concerns
• DVT or Pulmonary embolisms
• Pneumonia
• Skin problems
• Muscle complications due to inactivity
• ...
Modalities for non-operative care
• Traction
• Early mobilization
• Progressive weight bearing
• Soft tissue massage
• Pas...
Therapeutic Exercises
• Aerobic capacity/ endurance conditioning or
reconditioning
– Gait training
– Increase workload ove...
Therapeutic Exercises
• Balance, coordination and agility training
– Neuromuscular education or reeducation
– Perceptual t...
Therapeutic Exercises
• Flexibility exercises
– Muscle lengthening
– Range of Motion
– Stretching
• Gait and locomotion tr...
Therapeutic Exercises
• Relaxation
– Breathing strategies
– Movement strategies
– Relaxation techniques
• Strength, power,...
ADL Training
• Bathing
• Bed mobility and transfer training
• Developmental activities
• Dressing
• Eating
• Grooming
• To...
Bibliography
• American Physical Therapy Association, First. Guide to Physical
Therapist Practice. Second Edition. Alexand...
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Acetabular Fractures

  1. 1. Acetabular Fractures By: Mallory Roelke Ashley Van Genderen Lisa Vander Plaats
  2. 2. Overview • Acetabulum fractures are one of the most serious injuries treated by orthopedic surgeons • Requires rapid and precise treatment and sometimes surgical procedures • All ages are vulnerable
  3. 3. Causes • Result of a motor vehicle accident • Bad fall • Osteoporosis in elderly patients
  4. 4. pathophysiology • The femoral head is driven through the acetabulum due to traumatic injury and the femoral head ends up outside the acetabulum which is also known as a hip dislocation which most patients will have along with a fracture • More difficult to treat do to the fact the access to the bone is more difficult to get at and the proximity to the major blood vessels and nerves that innervate the lower extremities • Fracture of the cup where the femoral head sits in pelvis
  5. 5. Signs and Symtoms • Intense pain in injured area • Swelling • Obvious deformity • Difficulty with ROM • Inflammation signs • Contusions • Leg length discrepancies
  6. 6. Facts • Almost all patients always experience serious injury to surrounding soft tissue and neurovascular structures • There is usually significant bleeding and risk of nerve damage
  7. 7. Treatment • Most patients will require and open reduction with internal fixation. • Surgeon realigns the bone precisely as possible to prevent post op issues • Usually not treated until 5-10 days following injury due to the patient experiencing significant bleeding they wait for the patients own clotting mechanisms take effect • During this time may be in traction to prevent additional injury
  8. 8. Complication Concerns • DVT or Pulmonary embolisms • Pneumonia • Skin problems • Muscle complications due to inactivity • Heterotrophic ossification • Damage to head of femur • Avascular necrosis of the head of the femur • Nutritional problems • Constipation • Infection at the site of injury
  9. 9. Modalities for non-operative care • Traction • Early mobilization • Progressive weight bearing • Soft tissue massage • Passive range of motion
  10. 10. Therapeutic Exercises • Aerobic capacity/ endurance conditioning or reconditioning – Gait training – Increase workload overtime – Walking and wheelchair propulsion programs
  11. 11. Therapeutic Exercises • Balance, coordination and agility training – Neuromuscular education or reeducation – Perceptual training – Posture awareness training • Body mechanics and postural stabilization – Body mechanics training – Posture awareness and control training – Postural stabilization activities
  12. 12. Therapeutic Exercises • Flexibility exercises – Muscle lengthening – Range of Motion – Stretching • Gait and locomotion training – Developmental activities training – Gait training – Implement and device training
  13. 13. Therapeutic Exercises • Relaxation – Breathing strategies – Movement strategies – Relaxation techniques • Strength, power, and endurance exercises – Active assistive, active, and resistive exercises (including concentric, dynamic/isotonic, eccentric, isokinetic, isometric, and plyometric) – Task specific performance training
  14. 14. ADL Training • Bathing • Bed mobility and transfer training • Developmental activities • Dressing • Eating • Grooming • Toileting
  15. 15. Bibliography • American Physical Therapy Association, First. Guide to Physical Therapist Practice. Second Edition. Alexandria, Virginia: American Physical Therapy Association, 2001. 4-H. Print. • Fracture, Pelvic: eMedicine Emergency Medicine. N.p., 2010. Web. 19 Nov 2010. http://www.emedicine.medscape.com/article/825869-overview . • Novick, Nancy. "Hospital for Special Surgery." Pelvic Fractures/Fractures of the Acetabulum. N.p., 09/16/2009. Web. 22 Nov 2010. http://www.hss.edu/conditions_pelvic-acetabulum-fractures.asp . • Thacker Mihir M. "eMedicine." Acetabulum Fractures. N.p., 08/07/2009. Web. 20 Nov 2010. http://emedicine.medscape.com/article/1246057- overview . • All pictures retrieved from www.google.com

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