Professional Documents
Culture Documents
AO COMPREHENSIVE CLASSIFCATION
Type A. Partial articular one column
A1.
Posterior wall
A2.
Posterior column
A3.
Type B.
B1.
B2.
T type
B3.
both column - anterior column fracture extending to the iliac creast ( high variety )
C2.
both column - anterior column fracture extending to the anterior border ( low variety )
C3.
Grade 3
Grade 4
RADIOGRAPHIC EVALUATION
The AO/OTA classification for hip dislocations (JOT supplement, November/December 2007) is presented
below. Associated fractures are coded separately.
30A - dislocation of the hip
1 - Anterior
2 - Posterior
3 - Medial or central (fracture through acetabulum)
4 - Obturator
5 - Other
fractures.
The primary cause in younger individuals is high-energy trauma. Fractures
secondary to moderate or minimal trauma are increasingly of concern in those
over 35 years.
Acetabular fractures generally occur in conjunction with other fractures.
surgical treatment.
No studies comparing different operative treatments were found.
HO incidence (Grade III or IV) was twice as high for patients receiving indomethacin than
patients receiving radiation therapy.
scores.
Surgical delays were associated with fair/poor functional scores.
Type B
Type C
include male gender, thoracic and abdominal trauma, closed head injury, T-Type fracture and
delayed fixation (5).
Complications of concern perioperatively include neurovascular injury, embolic events and
infection. Chondrolysis and post-traumatic arthritis may occur later (11, 36).
We summarize the following aspects of acetabular fracture treatment:
1. Comparison of operative and nonoperative treatment
2. Pooled outcome and complication rates in surgically treated patients
3. HO prophylaxis:
1. Indomethacin (IM) versus no prophylaxis
2. Indomethacin (IM) versus radiation therapy (RAD)
4. Prognostic (risk) factors
(1.1-8.1).
Average length of hospital stay was longer for nonoperative patients.
The authors cite lower anatomic reduction rates (and use of surgical
techniques) for less-experienced trauma surgeons (46%) compared
with experienced trauma surgeons (77%), but do not report rates based
on operative versus nonoperative treatment.
16%.
Arthroplasty appears to have the most frequent revision rate (8.4%).
Two of the studies(4, 27) are subsets of the third study (5), so results of these
(20).
The overall incidence of Grade III or IV HO was 10%, with an incidence of 14%
Older age at injury was associated with fair/poor Merle dAubign-Postel (MDP),
Harris Hip (HHS) and Matta Hip (MHS) Scores and reduction quality, presumably
Surgery delays were associated with suboptimal reduction and fair/poor HHS and
MHS.
Complete loss of joint space was associated with fair/poor Musculoskeletal
Assessment Scores (MFA), including sub-scores related to activities of daily living
https://www2.aofoundation.org/wps/portal/!
ut/p/c0/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwN39yBTAyMvLwOLUA9
3I4MQE_2CbEdFAF3RnT4!/?contentUrl=%2Fsrg%2Fpopup%2Fevidence_sum
%2F62%2F62-EvidenceSumm.jsp&popupStyle=diagnosis&soloState=true&bone=Pelvis&segment=Acetabu
lum&BackMode=true