Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Acetabular Fractures
Posted: Jul 18 2019 #(C101205)
A

Acetabular Fracture in a 63M

HPI

This is a 63-year-old male who fell 2 meters from a ladder at work onto a concrete floor and presented to an outside hospital and was then transferred to our ED with R hip pain. He works as a carpenter. Pt complains of right hip pain only. Denies any other injuries and pain elsewhere. Denies loss of consciousness

PMH

1 pack per day smoker x 40 years. No other notable medical history

PE

Pelvis and right lower extremity: no open wounds, TTP vaguely around hip, no overt ecchymoses, ROM limited 2/2 pain, distally NVI

Poll
1 of 7
1. How would you classify this acetabular fracture?
Anterior column
49%
474/949
Transverse
6%
65/949
Transverse plus posterior wall
6%
64/949
T-Type
11%
112/949
Posterior column
4%
46/949
Posterior wall
1%
18/949
Both column
10%
97/949
Outside my area of expertise - best if I don't vote
7%
73/949
2. What would be your definitive treatment approach for this patient?
Nonoperative - Protected Weight Bearing
29%
256/858
Nonoperative - Closed treatment with Skeletal Traction
8%
69/858
Operative - Closed Reduction with Percutaneous Screw Fixation
10%
90/858
Operative - Open Reduction and Internal Fixation
47%
410/858
Outside my area of expertise - best if I don't vote
3%
33/858
3. If choosing Open Reduction and Internal Fixation, which Surgical Approach would you use?
Ilioinguinal
25%
200/782
Iliofemoral
2%
20/782
Modified stoppa (Anterior intrapelvic approach)
26%
209/782
Modified stoppa (Anterior intrapelvic approach) with a lateral window
21%
168/782
Posterior Kocher-Langenbach
3%
24/782
Extensile - Extended iliofemoral
1%
8/782
I would not perform Open Reduction and Internal Fixation in this patient
9%
74/782
Outside my area of expertise - best if I don't vote
10%
79/782
4. If you performed a Modified stoppa (Anterior Intrapelvic Approach) with a lateral window, would you perform an ASIS Ostetomy
No
53%
360/669
Yes - ASIS osteotomy - fixation with an independent lag screw(s)
11%
74/669
Yes - ASIS osteotomy - fixation with recon plate
6%
44/669
I would not perform a Modified stoppa (Anterior intrapelvic approach)
7%
53/669
Outside my area of expertise - best if I don't vote
20%
138/669
5. If choosing Open Reduction and Internal Fixation, assuming you obtained adequate fixation when would you typically allow weight bearing as tolerated?
Within 2 weeks
7%
50/691
3-4 weeks
9%
64/691
5-6 weeks
33%
232/691
7-8 weeks
19%
136/691
9-12 weeks
16%
111/691
>12 weeks
7%
51/691
I would not perform Open Reduction and Internal Fixation in this patient
2%
19/691
Outside my area of expertise - best if I don't vote
4%
28/691
6. If choosing Open Reduction and Internal Fixation, what would you use for DVT Prophylaxis?
Mechanical compression (SCDs) only
1%
12/671
Aspirin
11%
78/671
Low molecular weight heparin (lovenox)
69%
467/671
Coumadin
0%
3/671
Factor Xa inhibitor (ie., Xarelto)
11%
76/671
I would not perform Open Reduction and Internal Fixation in this patient
2%
18/671
Outside my area of expertise - best if I don't vote
2%
17/671
7. Would you provide heterotopic ossification (HO) prophylaxis? If so, which type?
No - I would not prescribe HO prophylaxis
47%
323/684
Yes - Radiation therapy
2%
20/684
Yes - Indomethacin
26%
179/684
Yes - Oral NSAIDs only
13%
93/684
Yes - IV Toradol then oral NSAIDs
1%
12/684
I would not perform Open Reduction and Internal Fixation in this patient
3%
21/684
Outside my area of expertise - best if I don't vote
5%
36/684
PROCEDURE #1 DOP: 7/29/2018

Open reduction and internal fixation of T-type acetabular fracture with anterior intrapelvic approach and ASIS osteotomy

Intra-procedure P1
icon
OUTCOMES
Post-procedure P1
Attach Treatment Poll
Treatment poll is required to gain more useful feedback from members.
Please enter Question Text
Please enter at least 2 unique options
Please enter at least 2 unique options
Please enter at least 2 unique options