Expert consensus on the accurate diagnosis and treatment of acetabular fractures based on three-column classification (version 2023)
10.3760/cma.j.cn501098-20230730-00038
- VernacularTitle:基于三柱分型的髋臼骨折精准诊疗专家共识（2023版）
- Author:
Ruipeng ZHANG
1
;
Hongmin CAI
;
Shicai FAN
;
Gang LYU
;
Yan ZHUANG
;
Chengla YI
;
Xiaodong GUO
;
Longpo ZHENG
;
Xianzhong MA
;
Hua CHEN
;
Dahui SUN
;
Guanglin WANG
;
Qishi ZHOU
;
Weixu LI
;
Wei FENG
;
Zhangyuan LIN
;
Xiaodong QIN
;
Jiandong WANG
;
Zhanying SHI
;
Lianxin LI
;
Guangyao LIU
;
Shuquan GUO
;
Ming LI
;
Jianzhong GUAN
;
Yingze ZHANG
;
Zhiyong HOU
Author Information
1. 河北医科大学第三医院，石家庄 050051
- Keywords:
Acetabulum;
Fractures, bone;
Diagnosis;
Therapeutics;
Postoperative complications
- From:
Chinese Journal of Trauma
2023;39(10):865-875
- CountryChina
- Language:Chinese
-
Abstract:
Accurate classification of the acetabular injuries and appropriate treatment plan are great challenges for orthopedic surgeons because of the irregular anatomical structure of the acetabulum and aggregation of important vessels and nerves around it. Letournel-Judet classification system has been widely applied to classify acetabular fractures. However, there are several limitations, including incomplete inclusion of fracture types, difficulty in understanding and insufficient guidance for surgical treatment, etc. Serious complications such as traumatic arthritis are common due to wrong classification and diagnosis and improper selection of surgical strategy, which brings a heavy burden to the society and families. Three-column classification, based on anatomic characteristics, has advantages of containing more fracture types and being easy to understand, etc. To solve the problems existing in the diagnosis and treatment process based on Letournel-Judet classification, achieve accurate diagnosis and treatment of patients with acetabular fractures, and obtain satisfactory prognosis, the Orthopedic Trauma Emergency Center of Third Hospital of Hebei Medical University and the Trauma Orthopedic Branch of the Chinese Orthopedic Association organized experts from relevant fields to formulate the Expert consensus on the accurate diagnosis and treatment of acetabular fractures based on three-column classification ( version 2023) in terms of principles of evidence-based medicine. Based on the three-column classification, 15 recommendations were proposed, covering the diagnosis, treatment, complication prevention and management, etc, so as to provide reference for accurate diagnosis and treatment of acetabular fractures.
