Acetabular Fractures
Initial Treatment
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ATLS protocol
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In general, operative treatment of an acetabular fracture should not be performed as an emergency, except when it is part of open fracture management or is performed for a fracture associated with a dislocation of the hip.
Timing of Surgery
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Most authors advocate waiting 2 to 3 days after injury before performing acetabular surgery to allow the patient to be adequately stabilised
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Ideally, operative reduction and internal fixation of acetabular fractures should be performed within 5 to 7 days of injury
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Try to avoid delay of more than 21 days (see below)
Anatomy of the Acetabulum

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