The Relevance of the Judet and Letournel Acetabular Fracture Classification System in the Modern Era: A Review

Butler, Bennet A.; Lawton, Cort D.; Hashmi, Salman; Stover, Michael D.

doi:10.1097/bot.0000000000001401

Cited by 26 publications

(20 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Judet and Letournel introduced their classification of acetabular fractures in 1964 and made a slight refinement in 1974 [14,17]. The classification is the gold standard, has definitely stood the test of time, and is the preferred classification for the majority of orthopaedic trauma surgeons [19]. Before their classification, the morphology of acetabular fractures was poorly understood.…”

Section: Classification Decision-making and Planningmentioning

confidence: 99%

“…Intra-and interobserver reliability was high in an expert group but lower with less-trained surgeons [20][21][22], giving the impression that the classification system is too difficult and complex. The difficulty and complexity probably came from the challenging nature of acetabular fractures, rather than being inherent to the classification system [19]. The learning curve can be long, but it is possible to shorten it using an algorithmic approach [23,24], 3D CT, and modern 3D modules [25][26][27].…”

Section: Classification Decision-making and Planningmentioning

confidence: 99%

See 1 more Smart Citation

Fractures of the acetabulum: from yesterday to tomorrow

Cimerman

Kristan

Jug

et al. 2020

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

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%.

show abstract

Section: Classification Decision-making and Planningmentioning

confidence: 99%

Section: Classification Decision-making and Planningmentioning

confidence: 99%

Fractures of the acetabulum: from yesterday to tomorrow

Cimerman

Kristan

Jug

et al. 2020

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…The reported mean age in the unilateral literature is closer to the high-energy group, a finding which is not surprising as they share a common mechanism [45][46][47][48]. The Letournel and Judet classification system [44] remains the most commonly used classification system for acetabular fractures [48,49], utilised by all included papers that report on classification [6, 7, 10, 12-15, 17, 18, 20, 21, 25-27, 29-41].…”

Section: Discussionmentioning

confidence: 97%

“…Non-operative treatment is usually reserved among others, for minimally displaced fractures, for patients with significant comorbidities and for the elderly with severe osteoporosis [ 48 , 56 , 60 ]. In this study, almost half of the patients in the seizure group were treated conservatively (48%), while another 19% were treated initially conservatively and received late THAs.…”

Section: Discussionmentioning

confidence: 99%

Management and Outcomes of Bilateral Acetabular Fractures: A Critical Review of the Literature

Mousafeiris

Vasilopoulou

Chloros

et al. 2022

JOIO

View full text Add to dashboard Cite

Background Bilateral acetabular fractures constitute a rare entity, and their optimal management is unknown. Materials and Methods A systematic literature search was conducted in PubMed, Embase and Cochrane Library between 1995 and 2020. Inclusion criteria were studies presenting cases of bilateral acetabular fractures and reporting outcomes. Extracted data included patient demographics, injury mechanism, fracture classification, associated injuries, management and outcomes. Results Thirty-seven studies (47 cases; 35 males vs 12 females) were included. Mean age was 46 years old (range 13–84) and mean follow-up was 19.8 months (range 1.5–56). High-energy injuries (49%) and seizures (45%) were the most common injury mechanisms. Fracture type distribution differed according to injury mechanism. Treatment was surgical in 70% of cases (75% open reduction and internal fixation vs 25% acute total hip arthroplasty). Outcomes were excellent/good in 58% of patients. Complications included heterotopic ossification (11%), nerve injury (11%), degenerative arthritis (6%), DVT (6%), and infection (3%). Conclusions Bilateral acetabular fractures most commonly occur either after trauma or seizures and are commonly managed operatively. They are not devoid of complications, however, more than half (58%) achieve complete functional recovery.

show abstract

“…Во всех анализируемых публикациях авторы использовали классификацию переломов ВВ [1,11,16,17,18,19,20,21,22,23,24,25], разработанную R. Judet и E. Letournel [33,34]. В. Butler с соавторами пишут о фундаментальной значимости и скрытых потенциальных возможностях этой классификации [35]. Сам автор классификации E. Letournel обращал внимание на то, что классификацию переломов ВВ применительно к пожилым людям можно модифицировать [33,34].…”

Section: Discussionunclassified

Surgical Approaches for Acetabulum Fracture Treatment: Analytic Review

Kolesnik¹,

Донченко

Surikov

et al. 2022

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

Background. The use of classical and modified surgical approaches to acetabulum is accompanied by serious intra- and postoperative complications associated with tissues, vessels, nerves, and lymphatic structures injury. The choice of approach to acetabulum affects the surgical time and the blood loss volume. The aim of the review was to compare the surgical time and blood loss volume using different surgical approaches to the acetabulum based on the relevant literature analysis. Methods. The search was carried out in PubMed/MEDLINE and Scopus databases from 1964 to 2022. When conducting a search for the phrases acetabular fractures, surgical approach to the acetabulum, 4368 articles were found. As a result of the selection, 12 publications containing the most complete information on the studied indicators were included in the quantitative analysis. Results. The data of surgical treatment of 540 patients with acetabulum fractures were analyzed. The average age of the patients was 45.211.6 years. Among the causes of pelvic and acetabulum fractures, road accident (70.4%) and falls from height (21.3%) largely prevailed. The blood loss depended on the use of specific approaches or their combination, and the surgical time. The shortest surgical time (101.027.0 min.) was required using pararectal approach, the longest (26456.4 min.) with the use of ilio-inguinal approach. The largest volume of blood loss was observed with Pfannenstiel approach 1057.1377.9 ml. No statistically significant differences were found when comparing the Kocher-Langenbeck (793328 ml), ilio-inguinal (82864 ml) and pararectal (798322 ml) approach. Performing the Kocher-Langenbeck approach in the patients lateral position reduces the surgical time by 16.8% and reduces blood loss by 12.4% compared to the patients prone position. Conclusion. Comparative clinical studies are required to determine the safest surgical approaches to the acetabulum, depending on the type of fracture, the mechanism of injury and the age of the patient.

show abstract

The Relevance of the Judet and Letournel Acetabular Fracture Classification System in the Modern Era: A Review

Cited by 26 publications

References 57 publications

Fractures of the acetabulum: from yesterday to tomorrow

Fractures of the acetabulum: from yesterday to tomorrow

Management and Outcomes of Bilateral Acetabular Fractures: A Critical Review of the Literature

Surgical Approaches for Acetabulum Fracture Treatment: Analytic Review

Contact Info

Product

Resources

About