The purpose of this research is to study a specific acetabular (hip socket) fracture pattern
and how its treatment affects the functional, clinical, and x-ray outcomes. There are no
experimental procedures involved.
This study will identify a small subset of patients that fall outside the Letournel
classification system of acetabular fractures. The fracture pattern, its influence on the
surgical treatment decision making process, and the radiographic and outcomes will be
detailed. In particular, both-column acetabular fractures with significant posterior
deformity have been correlated with poor functional outcomes, increased arthritis
radiographically, and worse prognosis in general. Despite these findings, there has been no
specific study evaluating these injury patterns to date. We present ten patients with both
column acetabular fractures and an associated posterior column/wall piece and their clinical
outcomes in an effort to help guide surgical treatment and offer prognostic guidance.
- All patients that underwent surgical fixation of the hip at Hershey Medical Center
between June 2006 and May 2007 by Dr's J. Spence Reid and David Goodspeed.
- They will include patients that are admitted directly from the field or are
transferred from outside hospitals.
- will be those acetabular fractures of non-traumatic etiology (e.g.: secondary to
malignancy or fatigue)
- fractures that have not undergone operative fixation
- pediatric populations under the age of 18
- mentally compromised patients
- those that do not give consent for the clinical evaluation.