Clinical Details

Clinical and radiological findings:  Each associated both column acetabular fracture has unique characteristics and features - this one has several larger columnar fragments and an interesting dome fragment too - the parasymphyseal injury zone is also notable - the applied binder causes more fracture displacement. Use the surface renderings to see some of the important details - the independent AIIS piece, the cortical surfaces, and the fracture planes - how best to see, clean, reduce, clamp, and stabilize them? Which and how many exposures, and how to sequence them if needed? Use all of the imaging to improve your understanding - look for surface and fracture plane details that can help you to improve the reduction and fixation - plan excessively. The imaging reveals that the PW fragment has the majority of the dome on it - that’s important information for a successful repair.