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

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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. Int Orthop. 2021 Apr;45(4):1057-1064. doi: 10.1007/s00264-020-04806-4. Epub 2020 Sep 22. Fractures of the acetabulum: from yesterday to tomorrow. Cimerman M(1), Kristan A(2), Jug M(2), Tomaževič M(2). Author information: (1)Traumatology Department, Division of Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia. matej.cimerman@kclj.si. (2)Traumatology Department, Division of Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia. PURPOSE: The aim of this article is to present history, state of the art, and future trends in the treatment of acetabular fractures. METHODS: Review of recent and historical literature. RESULTS: Acetabular fractures are difficult to treat. The first descriptions of this injury already appeared in ancient Greek history, but intensive development started in the second half of the twentieth century after Judet and Letournel's seminal work. Their classification is still the gold standard today. It is actually a pre-operative planning system and is used to determine the most appropriate surgical approach. The therapy of choice for dislocated fractures is open reduction and internal fixation. Recent modern techniques based on high-tech computerized planning systems and 3D printing have been successfully integrated into orthopaedic trauma practice. CONCLUSION: There is no ideal surgical approach for acetabulum fracture treatment, so new approaches have been developed in recent decades. The best outcome series have shown good or excellent results, between 70 and 80%. DOI: 10.1007/s00264-020-04806-4 PMCID: PMC8052228