Letournel-Judet Classification of Acetabular Fractures: A Systematic Review of Reliability and Association With Post-traumatic Arthritis.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

Conflict of interest statement: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. 10. J Orthop Trauma. 2019 Feb;33 Suppl 2:S3-S7. doi: 10.1097/BOT.0000000000001401. The Relevance of the Judet and Letournel Acetabular Fracture Classification System in the Modern Era: A Review. Butler BA(1), Lawton CD, Hashmi SZ, Stover MD. Author information: (1)Department of Orthopaedic Surgery, Northwestern Memorial Hospital, Chicago, IL. The Judet and Letournel acetabular fracture classification system, based on the idea of bicolumnar support of the acetabulum, was first described in a landmark article published in the 1960s. It has stood the test of time and continues to be the preferred method for describing acetabular fractures for the majority of orthopaedic trauma surgeons. Still, there have been attempts to modify or replace Letournel system since its introduction for a variety of reasons, chief among them a perceived inability of the classification system to account for a number of transitional fracture patterns and injury modifiers that may affect surgical decision making and patient outcomes. In this review, we present the literature related to the Judet and Letournel acetabular fracture classification system, over 50 years after its first formal description. We summarize its strengths, weaknesses, and its place in our current understanding of acetabular fractures and their recommended management. DOI: 10.1097/BOT.0000000000001401