In this group of acetabular fractures, an anterior column or wall fracture is associated with a posterior hemitransverse fracture. In addition, the femoral head is usually medially subluxed.

Acetabulum fractures are pelvis fractures that involve the articular surface of the hip joint and may involve one or two columns, one or two walls, or the roof within the pelvis. Diagnosis can be made radiographically with dedicated pelvis radiographs (including Judet views) but frequently require CT pelvis for surgical planning.

In osteoporotic bone, the anterior column and posterior hemitransverse fracture is commonly associated with an individual fragment of the quadrilateral surface, and impaction injury involving the acetabular roof.

For ORIF of anterior column/posterior hemitransverse fractures (ACPHT) with a sequential approach, the following surgical sequence is common: Patient positioning supine for Stoppa approach; Direct reduction of the anterior column; Assessment of reduction; Fixation of the anterior column avoiding posterior column; Wound closure

2024年11月21日 · The anterior column–posterior hemitransverse (ACPHT) acetabular fracture is an associated type of acetabular fracture commonly seen in elderly patients following a low-energy mechanism [1,2,3,4].

2024年8月22日 · anterior column with posterior hemitransverse. transverse fractures. T-shaped. transverse with posterior wall. transverse. anterior column with posterior hemitransverse. Algorithm of Scheinfeld et al. This grouping is derived from a three-level diagnostic algorithm based on fracture morphology 5:

Posterior Column fractures of the Acetabulum. Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

2019年10月23日 · Associated anterior column/wall plus posterior hemitransverse fractures are partially articular fractures with a transverse fracture component, characterized by an anterior segmental fracture (wall) or a separation of the anterior column from the posterior column in combination with only a posterior transverse fracture line.

Use of the supra-ilioinguinal approach for treatment of anterior column posterior hemitransverse fracture of the acetabulum produced excellent clinical results because of the direct visualization of the anterior column and quadrilateral plate.

We help you select the appropriate treatment of Anterior column and posterior hemitransverse located in our module on Acetabulum

The modified Stoppa approach facilitates the management of fractures of the anterior column such as the so-called anterior column posterior hemitransverse, very low anterior column, and low anterior column fractures.

Acetabular fractures are articular fractures, and are treated under the principles of anatomical reduction, stable internal fixation, and early mobilization. However, nonoperative treatment is relatively common for fractures in patients with increasing age and poorer quality bone.

2021年4月1日 · Open reduction and internal fixation of both columns is considered the treatment of choice for displaced anterior column with posterior hemitransverse (ACPHT) fractures in non-geriatric patients.

In this group of acetabular fractures, an anterior column or wall fracture is associated with a posterior hemitransverse fracture. In addition, the femoral head is usually medially subluxed.

We help you select the appropriate treatment of Anterior column and posterior hemitransverse located in our module on Acetabulum

Use of the supra-ilioinguinal approach for treatment of anterior column posterior hemitransverse fracture of the acetabulum produced excellent clinical results because of the direct visualization of the anterior column and quadrilateral plate.

In anterior column/posterior hemitransverse fractures with modified Stoppa approach, the following surgical sequence is common: Joint distraction and removal of incarcerated fragments; Reduction of femoral head dislocation if not achieved closed on admission; Reduction

Marginal impaction of the acetabular roof articular cartilage is commonly associated with anterior column and posterior hemitransverse fractures in elderly patients. This marginal impaction must be anatomically reduced and stabilized.

2025年2月19日 · Pipkin 4 fracture in elderly osteoporotic patients or severe injuries with anteriorly based fractures (anterior column, anterior wall, anterior column and posterior hemitransverse, associated both column) can be approached anteriorly with acetabular fixation and THR as a definitive surgical option. A posterior-based approach without ...

Open reduction and internal fixation of both columns is considered the treatment of choice for displaced anterior column with posterior hemitransverse (ACPHT) fractures in non-geriatric patients.

2021年1月29日 · Use of the supra-ilioinguinal approach for treatment of anterior column posterior hemitransverse fracture of the acetabulum produced excellent clinical results because of the direct visualization of the anterior column and quadrilateral plate.