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Acetabulum of pelvis9/28/2023 ![]() In the longer term, patients who have fractured their acetabulum face an increased risk of arthritis in the joint. Whereas nearly 100 of all pelvic fractures are the result of direct trauma, acetabular fractures may also result from the so-called indirect trauma. Since acetabular fractures are often caused by auto accidents, such fractures are usually accompanied by other injuries that can complicate treatment of the fracture. A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter. Principles and Methods of Management, Thieme: Stuttgart. Rehabilitation is required after surgery or after nonsurgical treatment. Based on: Tile M, Helfet DL, Kellam JF, Vrahas M (eds.), Fractures of the Pelvis and Acetabulum. If a patient walks on the affected leg too soon, it risks displacing the joint again. For older patients, even if the alignment of the joint is not perfect, fractures may be allowed to heal on their own, especially if the ball of the joint is still in the socket and relatively stable.Īfter injury or surgery, patients must not put weight on the affected leg for up to three months. The acetabular roof is the superior weight-bearing area of the acetabulum, which includes a portion of both the anterior and posterior columns. Surgery is most often performed in younger patients. The acetabulum is the large cup-shaped cavity on the anterolateral aspect of the pelvis that articulates with the head of the femur to form the hip joint. bruising or swelling over the pelvic prominences. Specific signs suggestive of pelvic fracture are. lower limb deformity or neurological abnormality, or. Surgery is used to remove bone debris from the joint, restore stability to the hip and align the surface of the cartilage so the ball is held tightly within the socket of the joint. Introduction Fractures of the pelvis and acetabulum (PAFs) are challenging injuries, requiring specialist surgical input. Pelvic fracture should be suspected in any polytrauma patient particularly where there is. Depending on the extent of damage to the cartilage in the joint and the degree of instability in the hip, surgery may be required. A, Surface-rendering 3D CT of pelvis in lateral view with femur and right hemipelvis removed shows anterior column (green).
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