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Acetabular Fractures

Initial Treatment

  •  ATLS protocol

  • In general, operative treatment of an acetabular fracture should not be performed as an emergency, except when it is part of open fracture management or is performed for a fracture associated with a dislocation of the hip.

 Timing of Surgery

  • Most authors advocate waiting 2 to 3 days after injury before performing acetabular surgery to allow the patient to be adequately stabilised

  • Ideally, operative reduction and internal fixation of acetabular fractures should be performed within 5 to 7 days of injury

  • Try to avoid delay of more than 21 days (see below)

 Anatomy of the Acetabulum

 

  



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