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Letournel-Judet Classification of Acetabular Fractures

Classification Definition Types
Simple Fractures Fractures involving one column or one wall, or a single fracture line (transverse fracture) 1. Posterior wall fracture
2. Posterior column fracture
3. Anterior wall fracture
4. Anterior column fracture
5. Transverse fracture
Complex Fractures Fractures composed of at least two of the above simple fractures 1. T-shaped fracture
2. Posterior column with posterior wall fracture
3. Transverse with posterior wall fracture
4. Anterior with posterior hemitransverse fracture
5. Both column fracture

Explanation

Based on different combinations of anterior and posterior columns and walls of the acetabulum, Letournel and Judet classified acetabular fractures into two major categories and ten types.

Letournel and Judet first published the acetabular fracture classification system in 1961 and made some modifications in 1965. This classification system mainly distinguishes based on anatomical changes.

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