Treatment Algorithm for Acetabular Fractures
Treatment Algorithm for Acetabular Fractures - Flowchart
«Flowchart»

Acetabulum fracture

Acetabulum fracture

Acetabulum fracture

Acetabulum fracture

Displaced

Displaced

Displaced Displaced

Nondisplaced

Nondisplaced

Nondisplaced Nondisplaced

End

End

End

ORIF with posterior approach

ORIF with posterior approach

ORIF with posterior approach ORIF with posterior approach

ORIF with anterior approach

ORIF with anterior approach

ORIF with anterior approach ORIF with anterior approach

ORIF with anterior and posterior combined approaches

ORIF with anterior and posterior combined approaches

ORIF with anterior and posterior combined approaches ORIF with anterior and posterior combined approaches

ORIF with extended approach

ORIF with extended approach

ORIF with extended approach ORIF with extended approach

ORIF but consider percutaneous treatment or THA

ORIF but consider percutaneous treatment or THA

ORIF but consider percutaneous treatment or THA ORIF but consider percutaneous treatment or THA

Geriatric fracture patient

Geriatric fracture patient

Geriatric fracture patient

Geriatric fracture patient

Posterior wall, posterior column, posterior column and wall

Posterior wall, posterior column, posterior column and wall

Posterior wall, posterior column, posterior column and wall Posterior wall

Most transverse, most transverse and posterior wall

Most transverse, most transverse and posterior wall

Most transverse, most transverse and posterior wall Most transverse

T-shaped infratectal and juxtatectal

T-shaped infratectal and juxtatectal

T-shaped infratectal and juxtatectal T-shaped

Anterior wall, anterior column, transverse with minimal posterior displacement

Anterior wall, anterior column, transverse with minimal posterior displacement

Anterior wall, anterior column, transverse with minimal posterior displacement Anterior wall

Most anterior column/wall and posterior hemitransverse
Most both-column

Most anterior column/wall and posterior hemitransverse
Most both-column

Most anterior column/wall and posterior hemitransverse
Most both-column Most anterior column/wall

Select T-shaped transtectal

Select T-shaped transtectal

Select T-shaped transtectal Select T-shaped transtectal

Anterior column/wall and posterior hemitransverse and both-column needing direct reduction of the posterior column

Anterior column/wall and posterior hemitransverse and both-column needing direct reduction of the posterior column

Anterior column/wall and posterior hemitransverse and both-column needing direct reduction of the posterior column Anterior column/wall

T-shaped needing direct reduction of the opposite column

T-shaped needing direct reduction of the opposite column

T-shaped needing direct reduction of the opposite column T-shaped needing direct reduction

Select T-shaped transtectal

Select T-shaped transtectal

Select T-shaped transtectal Select T-shaped transtectal

Both-column with posterior column comminution and SI joint involvement

Both-column with posterior column comminution and SI joint involvement

Both-column with posterior column comminution and SI joint involvement Both-column

All late fractures with bridging callus and posterior column displacement

All late fractures with bridging callus and posterior column displacement

All late fractures with bridging callus and posterior column displacement All late fractures

Posterior wall

Posterior wall

Posterior wall Posterior wall

Other types

Other types

Other types Other types

ORIF with posterior approach

ORIF with posterior approach

ORIF with posterior approach

ORIF with posterior approach

Nonoperative treatment

Nonoperative treatment

Nonoperative treatment

Nonoperative treatment

Stress examination under anesthesia

Stress examination under anesthesia

Stress examination under anesthesia

Stress examination under anesthesia

Stable

Stable

Stable Stable

Unstable

Unstable

Unstable Unstable

ORIF but consider percutaneous treatment or THA (geriatric patient)

ORIF but consider percutaneous treatment or THA (geriatric patient)

ORIF but consider percutaneous treatment or THA (geriatric patient)

ORIF but consider percutaneous treatment or THA (geriatric patient)

Nonoperative treatment

Nonoperative treatment

Nonoperative treatment

Nonoperative treatment

Observe

Observe

Observe

Observe

Remains stable

Remains stable

Remains stable Remains stable

Displacement evident

Displacement evident

Displacement evident Displacement evident

ORIF, open reduction and internal fixation

ORIF, open reduction and internal fixation

ORIF, open reduction and internal fixation