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Review Question - QID 1263

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QID 1263 (Type "1263" in App Search)
A 31-year-old male sustains an ipsilateral displaced transverse acetabular fracture, pubic rami fractures, and a sacroiliac joint dislocation. What structure should be reduced and stabilized first?

Pubic rami

3%

58/2036

Posterior column

4%

82/2036

Anterior column

2%

50/2036

Sacroiliac joint

86%

1759/2036

Quadrilateral plate

4%

79/2036

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In an ipsilateral unstable pelvic ring and acetabular fractures, the pelvic ring injury must be initially stabilized in order to reduce the acetabular fracture to a stable base.

The referenced article by Matta reviewed 259 patients with acetabular fractures treated within 21 days of injury and found that the hip joint can be preserved and post-traumatic osteoarthrosis can be avoided if an anatomical reduction is achieved.

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