Acetabular fractures revisited: part 2, a new CT-based classification.

@article{Harris2004AcetabularFR,
  title={Acetabular fractures revisited: part 2, a new CT-based classification.},
  author={John H. Harris and Kevin J. Coupe and Jody S. Lee and Thea Trotscher},
  journal={AJR. American journal of roentgenology},
  year={2004},
  volume={182 6},
  pages={
          1367-75
        },
  url={https://api.semanticscholar.org/CorpusID:26271144}
}
The axial CT display of acetabular fracture patterns provides a basis for a classification of acetABular fractures that is simple, unambiguous, readily understood by both radiologists and orthopedic surgeons and provides clear direction for both diagnosis and surgical treatment planning.
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56 Citations
Highly Influential Citations
3
Background Citations
6
Methods Citations
4

56 Citations

Acetabular fractures: anatomic and clinical considerations.

The osseous anatomy of the pelvis is reviewed and systematic approaches for reviewing both conventional radiographs and CT scans to effectively assess the acetabulum are provided.

Acetabular fractures: what radiologists should know and how 3D CT can aid classification.

Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification.

Algorithms in acetabular fracture classifications

Algorithmic analysis of the iliopectineal line, ilioischial line, ilioischial line (posterior column involvement), presence of a posterior wall fragment, fracture lines involving the iliac wing and inferior ramus, and the spur sign allow for approximately 80–90% correct classifications using standard X-rays when integrating these lines into an algorithm.

Mapping of both column acetabular fractures with three-dimensional computed tomography and implications on surgical management

Surgically treated both-column fractures display very common patterns, which may help surgeons to yield insight relevant to surgical approaches, reduction, fixation strategies and even implant design for both- column fractures.

Clinical and Radiological Assessment of Acetabular Fracture

This chapter is describing the clinical features and classification of acetabular fracture in a simple and vivid manner.

Transitional transverse acetabular fractures: Differences between fractures with a large posterio-superior fragment and the inverse T-fracture—a report of 10 unusual cases

Transverse fractures with secondary vertical fracture lines—which constitute either a large posterio-superior fragment without any articular surface (floating dome) or an inverse T with the posterior ileum attached to the axial skeleton—have not been described in detail in the literature.

Classification of common acetabular fractures: radiographic and CT appearances.

Assessment of the obturator ring, followed by the iliopectineal and ilioischial lines and iliac wing, for fracture allows accurate classification of acetabular fractures and CT is helpful in understanding the various fracture patterns.

A new classification for quadrilateral plate fracture of acetabulum.

Outcomes of acetabular fracture fixation with ten years' follow-up.

The gold-standard treatment for displaced acetabular fractures remains open reduction and internal fixation performed in dedicated units by specialist surgeons as soon as possible.

A New, Easy, Fast, and Reliable Method to Correctly Classify Acetabular Fractures According to the Letournel System

A diagnostic algorithm that involves the use of 1 standardized 3-dimensional reconstruction of a computed tomography (CT) scan with 8 anatomical landmarks integrated into a smartphone application greatly increased the accuracy of classification of complex acetabular fractures.
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15 References

CT of acetabular fractures: analysis of fracture patterns.

CT was especially useful in evaluation of the two-column fractures in which unique information concerning the configuration of the fracture, integrity of the acetabular dome and quadrilateral surface, and identification of the stable fragment was obtained.

The impact of CT in clinical management of pelvic and acetabular fractures.

Thirty-eight consecutive patients admitted to the hospital with pelvic and acetabular fractures underwent CT examination. The axial plane of CT is shown to be the most suitable for evaluation of…

Fractures of the acetabulum: imaging, classification, and understanding.

Three-dimensional reconstruction of CT data can be helpful in understanding the complex fracture patterns, and 3D CT is a useful teaching tool for demonstrating the different types of acetabular fractures.

Acetabulum fractures: classification and management.

Late follow-up of hips treated by open reduction and internal fixation supports the contention that a satisfactory outcome can be expected if the fracture reduction is perfect, and in some instances it would have been better to accept the result which might have been obtained by conservative methods.

Multiplanar and 3d CT of acetabular fractures

A standard protocol for the multiplanar (MPR) and 3D shaded surface display (SSD) reconstruction of CT data on acetabular fractures is established and appropriate standard MPR and SSD views are used to reduce the time required to produce the reformats.

Normal acetabular anatomy for acetabular fracture assessment: CT and plain film correlation.

Radiographic-CT correlations of acetabular landmarks should aid the orthopedist by providing a useful interpretation of acetABular fractures according to the Judet and Letournel system.

Acetabular fractures: optimal imaging.

In 19 cases of acetabular fracture, computed tomography (CT) with volumetric three-dimensional (3D) reconstructions displayed as video loops about horizontal and vertical axes of rotation replaced…

Multiplanar computed tomography of acetabular fractures.

Computed tomography/MPR was used postoperatively in 10 patients to confirm the status of reduction and fixation and to evaluate patients with unusual problems in the recovery period and the findings led to major alterations of patient management in seven cases.

Three-dimensional computed tomography of acetabular fractures.

Computer programs that produce 3D surface reformations from sets of contiguous axial CT scans were used in evaluating a variety of acetabular fractures in 20 patients, and new views were produced that provided a unique perspective not obtainable by conventional radiography.

Rotational imaging of complex acetabular fractures.

Dynamic DRI viewing in rapid sequence provides a three-dimensional effect that improves perception of acetabular fracture relationships, often differing in obliquity from the conventional 45-degree orthogonal views.