**Author details**

Type A: Partial articular, one column involved.




required to evaluate the utility of the proposed classification [25].

In a review of 229 patients with acetabular fractures by Herman et al. found certain fracture patterns, which cannot be included in any one of the Judet and Letournel classification. They have proposed a newer classification system based combination between the displacement vector of the fractures and the specific fracture architectural structures. But further studies are

The aim of treatment of any acetabular fracture is to get anatomical reduction and stable fixation and early mobilization and delayed weight bearing. This can be achieved either by operative or non-operative treatment. In displaced fracture more than 2 mm, the roof arc angle <30°, Failure to achieve and maintain concentric reduction by closed methods, incarcerated or impacted intra-articular fragments are indication for open reduction. If there is vascular or sciatic nerve injury developing following a closed manipulation such situation warrants emergency ORIF. In patients with poor bone quality, late presentation, medical contraindication, severely communited fracture, secondary congruency can be treated non operatively. Most of the fractures are reduced using the principle of ligamentotaxsis. Interfragmentary screws are used for rigid fixation which should be protected using reconstruction plate in the neutralization mode [26].

All authors helps in collecting data, analysis, statistics, writing and editing the manuscript. We have no conflict of interest for this manuscript and we have not accepted any financial assistance from within or outside of our institution for collecting data,writing manuscript and



Type B: Partial articular fracture.

Type C: Complete articular fracture.



**8. Principles of treatment**

**Contributions**

for its publications



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50 Trauma Surgery

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Balaji Zacharia\*, Dhiyaneswaran Subramaniyam and Muhammed Ayyub

\*Address all correspondence to: balaji.zacharia@gmail.com

Department of Orthopedics, Govt. Medical College, Kozhikkode, Kerala, India
