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Browsing School of Medicine by Subject "Acetabular fracture, CT, Judet-letournel classification system"

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    Retrospective cross –sectional study on computed tomography imaging analysis of Acetabular fracture pattern at Tikur Anbessa Specialized Hospital,Addis Ababa,Ethiopia.
    (Addis Abeba University, 2020-12) Admasu, Berihun; Zenebe, Moges (MD, MSK imaging subspecialist)
    Introduction: Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures are almost universally classified by the method described by Judet et al and Letoumel over 60 years ago primarily to aisurgical planning. In the Judet and Letournel system, there are 10 acetabular fractures and fracture combinations. Although some fracture patterns are not directly accounted for in this scheme, many are subsumed into these 10 categories.CT scan is now considered a gold standard in management of acetabular fracture because it best characterizes fracture pattern, fragment sizeand orientation, identify marginal impaction, loose bodies and also look for articular gap. Purpose of the study: The main objective of this study was to assess CT acetabular fracturepatterns and associated injuries of all patients sustaining acetabular fracture from May 2019 to May 2020 GC in TASH, Addis Ababa, Ethiopia. Material and methods: Institutional based retrospective cross sectional study of 89 patientswith acetabular fracture was done. All patients with acetabular fracture from may -2019 to may- 2020 G.C that fulfill the inclusion criteria mentioned above were studied. The important data including age, sex, address, cause of fracture, fracture pattern classification, associated injuries and management modality were obtained from PACS, patient charts and electronic medical records. Finally, data was collected manually, coded, entered and analyzed by SPSS version 23. Conclusion: We retrospectively assessed 89 acetabulum fractures that had been seen at TASH between May 2019 and May 2020. Majority of patients having acetabular fracture were males in their adult age group. Road traffic accident and fell down accident were causes of most acetabular fracture in TASH. Anterior column with posterior hemi transverse, T-shaped and bothcolumn fractures were the most frequent acetabular fracture patterns in their order. Associated intra-articular bony fragments and hip dislocations also noted in about 34% and 40% of cases respectively. In 8% of the cases there is also associated femoral head impaction. Femoral, pelvicand sacral bone fractures were common injuries associated with acetabular fracture. Majority of the patients had surgical management in TASH