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OrthoVellum

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Trauma
intermediate
X-Type

Acetabular Fracture Letournel Classification

Pelvic and Acetabular Fractures

A 35-year-old man is involved in a motor vehicle accident and sustains a dashboard injury. CT scan reveals a displaced acetabular fracture involving both the anterior column from the iliac crest to the pubic symphysis and the posterior column from the greater sciatic notch to the ischial tuberosity, with a "floating" acetabulum separated from the intact ilium. Regarding acetabular fracture classification:

Mark each as TRUE or FALSE

A

The Letournel classification describes 10 fracture patterns: 5 elementary (posterior wall, posterior...

B

The anterior column extends from the iliac crest through the anterior wall and pubis to the symphysi...

C

Letournel describes 20 fracture patterns; the anterior column extends to the ischium; the posterior ...

D

The "spur sign" on obturator oblique view indicates a both-column fracture where a portion of intact...

E

Surgical approaches: Kocher-Langenbeck (posterior) for posterior wall, posterior column, and posteri...

Answer the questions to see explanations

Click T (True) or F (False) for each option