Articles about Pelvic and Acetabular Fractures

Pelvic and Acetabular Fractures

Pelvic ring fracture (PRFs) represent 3-8% of all skeletal injuries. The annual incidence of PRFs is estimated to be 19-37 for every 100.000 inhabitants. This type of fracture is a result of high energy injury like motor vehicle accident (MVA) or a result of low energy injury as it happens in elderly after a fall from their height.

One of the most common type of this fracture is called ‘’open book’’ which is critical for the life of the injured, so emergency action is required.

Treatment mostly depends on stability and it could be conservative or surgical followed by physio care and psychosocial support. A specialized group of orthopedic surgeons in the pelvic ring fractures are required for surgical treatment.

Fractures and injuries treated by Papasotiriou Antonios, MD

5. Comminuted fracture of the left acetabulum in a 50-year-old man.

Treatment: Open reduction internal fixation

I. Before surgery II. One-year post-surgery, x ray showing the four plates with 21 screws in total
4. Posterior dislocation of the right hip with posterior acetabulum fracture in a 40-year-old male.

Treatment: 1st stage; closed reduction of the dislocation 2nd stage; open reduction of the acetabulum fracture with internal fixation

Ι. Obturator view of the right acetabulum shows the dislocation of the right hip II. Obturator x-ray right acetabulum shows the reduction of the hip, the red arrow shows the fracture III. Iliac x-ray acetabulum after the procedure shows the implant work (the patient referred to Mr. Antonios Papasotiriou who fixed the acetabulum)

$II. Obturator x-ray right acetabulum shows the reduction of the hip, the red arrow shows the fracture$
3. Pelvic fracture called also open book fracture in a 27-year-old male.

Treatment: Open reduction internal fixation of pubic symphysis and percutaneous fixation of the left sacroiliac joint

I. Before surgery II. Post-surgery, anteroposterior x-ray of pelvis showing one plate and six screws in pubic symphysis and one large screw in the left sacroiliac joint
2. Pelvic fracture in the area of pubic symphysis (Tilt fracture) in a 23-year-old male.

Treatment: Open reduction internal fixation

I. Before surgery II. Post-surgery, anteroposterior x-ray of pelvis showing one plate and seven screws with the reduction of the fracture

$II. Post-surgery, anteroposterior x-ray of pelvis showing one plate and seven screws with the reduction of the fracture$
1. Pelvic fracture involved sacrum caused by lateral compression in a 25-year-old male.

Treatment: Percutaneous fixation with two sacroiliac screws

I. Before surgery, axial view of CT scan showing fracture of sacrum on the left side II. Post-surgery, anteroposterior x-ray of pelvis with the two sacroiliac screws

$I. Before surgery, axial view of CT scan showing fracture of sacrum on the left side$

Pelvic and Acetabular Fractures

5. Comminuted fracture of the left acetabulum in a 50-year-old man.

4. Posterior dislocation of the right hip with posterior acetabulum fracture in a 40-year-old male.

3. Pelvic fracture called also open book fracture in a 27-year-old male.

2. Pelvic fracture in the area of pubic symphysis (Tilt fracture) in a 23-year-old male.

1. Pelvic fracture involved sacrum caused by lateral compression in a 25-year-old male.