Letournels large series of 569 fractures treated within 21 days demonstrated clearly that anatomical reduction is essential for longterm success. Progressive osteoarthritis is considered to be caused by an irregular articular surface of the acetabular roof or cartilage injury, but little is known about the pathogenesis of collapse of the femoral head after acetabular fracture. If you want to learn about acetabular fractures disgnostics and treatment, you have to pass through it and read like the bible. Acetabulum a deep semispherical socket cavity in the lateral surface of the hip, with which the femoral head articulates, located at the convergence of the ilium, ischium, and pubis. Such fractures are far less common than fractures to the ball part of the joint. The fourth edition of this wellknown and highly regarded book by marvin tile et al. The judet brothers and, subsequently, emile letournel studied acetabular fractures extensively and were responsible for popularizing the surgical management of these challenging injuries. The point of impact in the acetabulum is determined by the.
Try using this method, and your ability to classify these fractures will improve. We feel that a systematic, stepwise approach to classifying acetabular fractures into larger groups and then subclassifying these groups will help simplify the application of the letournel and judet classification. Acetabulum article about acetabulum by the free dictionary. St georges hospital is the largest specialist centre for fractures of the acetabulum in the uk with several patients being referred from other hospitals each week. Everyday low prices and free delivery on eligible orders. Reinert, md this article describes a teclmique for closed or limited open reduction and percutaneous screw fixation of acetabular fractures, indications and rationale for surgery, as well as fluoroscopic. Often the result of a traumatic incident such as a motor vehicle accident or a bad fall, pelvic and acetabular fractures require rapid and precise treatment and, in some cases, one or more surgical procedures. We feel that a systematic, stepwise approach to classifying acetabular.
Such treatment demands an exact reconstitution of the anatomy of the acetabulum and pelvic bone. Posterior wall fracture posterior column fracture transverse fracture anterior column fracture anterior wall fracture assoc. It also provides the fundamental description of the two columns of the acetabulum. With the collaboration of over 80 international expert surgeons and through hundreds of images and illustrations, each volume emphasizes decision making. Keep in your library as a cornerstone in the story of medicine. Clinical and radiological assessment of acetabular fracture. The third edition of this definitive work is broadened to include the next generation of trauma specialists. Above all, i thought it was time to report the longterm results of the 940 acetabular fractures, 90070 of which were treated surgically a unique series. Fractures of the pelvis and acetabulum two volume set, 4e. Comprehension and reproducibility of the judet and.
It divides acetabular fractures into 5 simple patterns and 5 complex patterns. Acetabulum definition of acetabulum by medical dictionary. At the lower part of the acetabulum is the acetabular notch, which is continuous with a circular depression, the acetabular fossa, at the bottom of the cavity of the acetabulum. Nov 09, 20 although letournels classification system provides a framework in which to understand acetabular fractures and plan surgical approaches, it does not address hip stability. We feel that a systematic, stepwise approach to classifying acetabular fractures into larger groups and then subclassifying these groups will help simplify the. A cupshaped socket on the hipbone that receives the head of the femur.
The mechanics of acetabular fractures describes a force acting between the acetabulum and the head of the femur and being the last link of a chain of transmission from the greater trochanter, the knee or the foot. As the acetabulum is oriented obliquely, such that the face points slightly anterior and inferior to the true lateral side of the patient, a rotatable 3d rendering with the femur virtually removed is needed to recapitulate the classic diagrams and terminology of the judet letournel classification. This injury is caused by a blow to either the side or front of the knee and often occurs as a dashboard injury accompanied by a fracture of the femur. The acetabulum is a cupshaped hollow in the pelvis into which the head of the femur thigh bone fits to form a ball and socket joint your hip joint. Acetabulum, showing the cupshaped cavity a, and its articulation with the femur b. Letournel and judet classification of acetabular fractures. Manu bhushan mengi anatomy an incomplete hemispherical socket with an inverted horseshoeshaped articular surface surrounding the nonarticular cotyloid fossa. At the request of our publishers, i accepted the task of preparing this second edition. Resources on fractures of the acetabulum classification of judet and letournel and related topics in orthopaedicsone spaces. This excellent book must be read and earn by all orthopaedic surgeon who treat and understand acetabular fractures. The classification scheme developed by judet et al. Nov 03, 2017 bothcolumn fracture is the most common of the associated fractures. Fractures of the acetabulum emile letournel springer. Fractures of the acetabulum classification of judet and letournel orthopaedicsone articles.
The discrepancy between the letournel definition of the anterior and posterior columns became readily apparent. Introductionfractures of the acetabulum generally occur in younger individuals as a result of highenergy motorvehicle accidents. Comprehension and reproducibility of the judet and letournel. In addition to the classification system, letournel developed and outlined principles for acetabular fracture reconstruction. Fractures of acetabulum pelvis hip scribd read books. Judet preface to the french edition it is a long time since we first attempted surgical treatment of fractures of the acetabulum accompanied by displacement, with the aim of restoring perfect articulation. Fractures of the acetabulum were treated nonoperatively until the middle of the 20th century.
The rounded cavity on the external surface of the hip bone that receives the head of the femur. Jul 01, 20 in a recent metaanalysis, all fractures of the acetabulum 3670 cases were found to be classifiable according to letournels classification. Fractures of the acetabulum by emile letournel, 9783540521891, available at book depository with free delivery worldwide. For example, the bone can break straight across the socket or shatter into many pieces. He has described everything which related acetabular fractures, xrays, results of the operative treatment, aproaches etc. Letournel and judet classification of acetabular fracture is a modification of the original 1964 judet classification. Judet and letournel classification for acetabular fractures. To evaluate the effectiveness of the method of radiographic interpretation of acetabular fractures, according to the classification of judet and letournel, used by a group of residents of orthopedics at a university hospital. The rest of the acetabulum is formed by a curved, crescentmoon shaped surface, the lunate surface, where the joint is made with the head of the femur. After a background understanding of the classification of judet and letournel and the radiographic anatomy of the pelvis, the majority of acetabular fractures are readily classified by utilizing the steps as outlined above.
The socket part is lined with smooth cartilage and is called the acetabulum, which is part of the pelvis. Acetabula definition of acetabula by medical dictionary. Nov 28, 2018 fractures of the acetabulum were treated nonoperatively until the middle of the 20th century. Posterior acetabular column and quadrilateral plate fractures. When the acetabulum is fractured, the femoral head may no longer fit firmly into the socket, and the cartilage surface of both bones may be damaged. For example, posterior wall acetabular fractures are present in three of 10 fracture patterns.
Acetabular fractures classification of letournel and judeta. Subchondral fracture of the femoral head after acetabular. Complex fractures are more common and are composed of. The judet and letournel classification is the most widely used classification system for acetabular fractures. Radiographic analysis and classification of displaced acetabular fractures by letournels classification allows the surgeon to choose better the appropriate surgical approach.
I was always looking for a book that can give me clear understanding and comperhensive coverage to the subject of acetabular fractures till i found the fractures of the acetabulum by emile letournel and i didnt believe the amount of knowldge given by this author and the effort behind this book and his experience over 40 years in assessing and treating pelvic and acetabular fractures i. Breaks in the pelvis or acetabulum of the hip joint are among the most serious injuries treated by orthopedic surgeons. Letournel e, judet r 1993 fractures of the acetabulum, 2nd edn. Fractures of the acetabulum occur when the head of the femur is driven into the pelvis. The acetabulum is a cup like socket formed by the connection of the three bones that make up our hip. Please mention that you will be attending the letournel course. With 50 contributors, new techniques are covered with a focus on minimally invasive procedures. Fragility fractures of the acetabulum sciencedirect. It classifies acetabular fractures into ten major fracture patterns, which consist of five simple patterns and five complex patterns 1,2. Acetabular fractures primarily occur in young people who are involved in. Posterior acetabular column and quadrilateral plate. Fractures of the pelvis and acetabulum by marvin tile and a great selection of related books, art and collectibles available now at. Fractures of the acetabulum classification of judet and.
It has been a pleasure to comply with requests to publish this book in english. St georges hospital is the largest specialist centre for fractures of the acetabulum in the uk with several patients being. This book is distributed under the terms of the creative commons. This concept justifies fractures limited to the acetabulum itself, such as wall, singlecolumn, and some dualcolumn letournel transverse fractures. We selected ten orthopedic residents, who were divided into two groups. Articular socket is composed of and supported by two columns of bone, described by letournel and judet as an inverted y. Preventing posttraumatic osteoarthritis is a challenging problem following acetabular fracture. Fiftyeight patients with metastatic pathologic fractures of the acetabulum, classes i through iii, were analyzed retrospectively with regard to pain, ambulation, and stability of fixation as well. Although letournel s classification system provides a framework in which to understand acetabular fractures and plan surgical approaches, it does not address hip stability. It is the result of years of work by emile letournel and robert judet. Judetletournel acetabular fractures classification elementary. They divided acetabular fractures into five simple fracture patterns and five.
Please book prior to monday, september 8 th, 2014 and we encourage booking your reservation early. Standard text books of anatomy and surgical anatomy were referenced relative to. Aug 06, 2016 i was always looking for a book that can give me clear understanding and comperhensive coverage to the subject of acetabular fractures till i found the fractures of the acetabulum by emile letournel and i didnt believe the amount of knowldge given by this author and the effort behind this book and his experience over 40 years in assessing and treating pelvic and acetabular fractures i. Judet letournel acetabular fractures classification elementary. Acetabular fractures are a challenging topic for radiologists and orthopedists. Registration fees payable by check, credit card or wire transfer amex, mc and visa make checks payable to. Redefinition of the letournel anterior column by limiting its superior extent to the arcuateiliopectineal line confines each column to the anatomic acetabulum. Within elementary and associated fracture patterns, there are many variations.
The acetabulum is functionally comprised of two columns anterior and posterior. Call the fairmont miramar hotel at 3105767777 or 8665404470 for reservations. Anterior column is composed of the bone of the iliac crest, the iliac spines, the. The acetabulum is functionally comprised of two columns anterior and posterior and two walls anterior and posterior. In a recent metaanalysis, all fractures of the acetabulum 3670 cases were found to be classifiable according to letournels classification. Fractures of the acetabulum emile letournel, robert. Thieme ebooks, the fourth edition of this wellknown and highly regarded book by marvin tile et al. Acetabular fractures classification of letournel and judet. This socket meets with the femoral head of the femur bone to form the hip joint.
888 197 433 340 1247 1295 764 873 584 403 1438 1412 812 236 5 1207 1290 1446 781 1449 599 1064 1179 1498 1453 707 969 95 1337