Acetabular Fx Classification

The Judet and Letournel classification can be confusing to apply. However, it can be simplified by breaking it down and looking at just 5 things in order:

    (1) Iliac wing disruption

    (2) Obuturator ring disruption

    (3) Disruption of both the ilioischial line and the iliopectineal line

    (4) Presence of a posterior wall fracture

    (5) Complete articular separation

Approaches for how to fix these fractures are then split into anterior-based approaches and posterior-based approaches and the choice is dictated by the fracture patterns.