Acetabular pelvis fracture
It is accepted by all orthopedic surgeons that the appropriate treatment (gold standard) of displaced intra-articular fractures is their anatomical reduction and stable osteosynthesis.
However, in intra-articular fractures of the acetabulum this rule is not strictly followed, nor are the surgical indications for intra-articular fractures completely observed. This peculiarity results in acetabular fractures with significant displacement being treated conservatively, especially in young injured patients, while they could potentially be repaired. However, this conservative treatment of displaced acetabular fractures has devastating consequences for the hip joint and very often for the health of the injured person. What are the causes of this peculiarity in the treatment of displaced acetabular fractures in relation to other intra-articular fractures?
The first important reason is the inability to accurately assess the damage. In fact, assessment is difficult, although diagnostic methods and techniques have improved significantly, both because the hemipelvis has a complex anatomy, and because acetabular fractures are often crushing, while other secondary fractures are often added to the main fractures.
A second important reason is the extremely difficult surgical treatment of these fractures. Their reduction and osteosynthesis require approaches that are not familiar to the wider orthopedic field. As these fractures are directly related to the vessels and nerves of the area, as well as to the organs of the pelvic area, if the necessary experience is not available, there is uncertainty during the access and preparation of the fracture, much more so during reduction and osteosynthesis.
The Peristeri Clinic operates a department for the treatment of pelvic-acetabular fractures where a large number of complex fractures of the acetabulum and pelvis are treated with the application of all international protocols.
The department also has a significant scientific presence in Greece and internationally. A 330-page collection is also being published that includes all diagnostic and surgical techniques.
