Surgical Treatment for Acetabular Fractures
Most often acetabular fractures require surgery; however, less severe fractures can be treated non-surgically through physical therapy.
The most common surgery used in cases of acetabular fractures is called ORIF, or open reduction and internal fixation surgery.
Acetabular fractures, usually caused by high-impact incidents, make this surgery one of the most challenging procedures that an orthopedic surgeon can perform due to the severity of the breakage.
This surgery involves straightening (traction) the femur to reposition any free articular fragments and the femoral head (the ball part of the joint) so that reduction and fixation may happen.
Reduction and fixation are the procedures, which aim to restore the broken acetabulum (reduction) and then, using screws and plates, hold the broken fragments in place so that the bone may heal (fixation).
In very severe cases, a total hip replacement surgery may be used to treat an acetabular fracture.
Total hip replacement is used in situations where the acetabulum is so damaged that neither reconstruction nor repair would yield good long-term results.
Screw and plate fixation is used whenever possible so that the bones can be realigned into their normal position before hip replacement.
During a total hip replacement, surgeons will remove the broken acetabulum and replace it with a prosthesis, or artificial hip.
Drugs and Other Treatment Used for Acetabular Fractures
Assistive Devices »
Physical Therapy »
Lifestyle Changes »
Other therapies include:
Occupational Therapy (OT) can help a patient continue daily activities while recovering from surgery.