Treatment of Pelvic and Acetabular Fractures

Question 1

when should you do a CT scan for a pelvic fracture?

Answer 1

suspected acetabular fracture
suspected sacral fracture

Question 2

what makes up the weight-bearing axis?

Answer 2

sacro-iliac joint
ilial body
acetabulum

Question 3

when should you be concerned for pelvic canal diameter?

Answer 3

if narrowed more than 50%

Question 4

when is conservative management good for pelvic fractures?

Answer 4

do not involve weight bearing axis
>10 days old with minimal displacement and no pelvic canal narrowing

Question 5

when is it easiest for surgery to be performed for pelvic fractures?

Answer 5

<4-5 days after injury

Question 6

what does a sacroiliac fracture luxation look like on radiographs?

Answer 6

a step between the ilium and the caudal aspect of the affected sacral wing

Question 7

are sacroiliac luxations usually bilateral or unilateral?

Answer 7

unilateral

Question 8

what is the preferred treatment for a sacroiliac luxation?

Answer 8

lag screw placement

Question 9

where is the caudal segment of an iliac fracture usually displaced?

Answer 9

medial and cranial

Question 10

what are the principles of treatment of acetabular fractures?

Answer 10

anatomical reduction
rigid fixation
early mobilization

Question 11

what can be done for comminuted/irreparable acetabular fractures?

Answer 11

femoral head and neck osteotomy
conservative management
total hip replacement