Acetabular fractures

The relative infrequency and complexity of acetabular fractures provide a challenge for trauma surgeons. In young patients, the management may be complicated by other injuries. The aim of treatment is to maintain a stable congruent joint. Although there is a role for non-operative treatment the hip joint tolerates instability and incongruity poorly. Operative treatment is complex due to the limitations of the surgical approaches, and the complex three-dimensional anatomy. The relative merit of each surgical option must be considered, and the decision is often a compromise of exposure vs. complications. In the older patients, achieving a stable congruent hip, with open reduction and internal fixation, may not be possible due to poor bone quality. Total hip replacement may be considered a better option. Outcome of acetabular fractures is dependent on the quality of surgical reduction and fixation, in turn this has been related to the experience of the surgeon.