Judet and Letournel classification for acetabular fractures

Changed by Andrew Murphy, 22 Nov 2017

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The Judet and Letournel classification is the most widely used classification of acetabular fractures.

It is based on three radiographic views (anteroposterior view, obturator oblique view and Iliac oblique view)  and classifies acetabular fractures into ten major fracture patterns, which consist of five simple patterns and five complex patterns.

Elementary patterns

The five simple fractures are the following:    

  1. Posteriorposterior wall    
  2. Posteriorposterior column    
  3. Transversetransverse
  4. Anterioranterior column
  5. Anterioranterior wall

Associated

The five associated patterns are combinations of the simple patterns:

  1. Posteriorposterior column + posterior wall fractures
  2. Transversetransverse +  posterior wall fractures    
  3. T-shaped  fracture
  4. Anterioranterior wall/column + posterior hemitransversehemi-transverse fracture   
  5. Bilateralbilateral-column fracture
  • -</xml><![endif]--></p><p>The <strong>Judet and Letournel classification</strong> is the most widely used classification of <a href="/articles/acetabular-fractures">acetabular fractures</a>.</p><p>It is based on three radiographic views (<a href="/articles/pelvis-series">anteroposterior view</a>, obturator oblique view and Iliac oblique view)  and classifies acetabular fractures into ten major fracture patterns, which consist of five simple patterns and five complex patterns. <!--[if gte mso 9]><xml>
  • +</xml><![endif]--></p><p>The <strong>Judet and Letournel classification</strong> is the most widely used classification of <a href="/articles/acetabular-fractures">acetabular fractures</a>.</p><p>It is based on three radiographic views (<a href="/articles/pelvis-series">anteroposterior view</a>, <a href="/articles/pelvis-judet-view-2">obturator oblique view</a> and <a href="/articles/pelvis-judet-view-2">Iliac oblique view</a>)  and classifies acetabular fractures into ten major fracture patterns, which consist of five simple patterns and five complex patterns. <!--[if gte mso 9]><xml>
  • -<li>Posterior wall    </li>
  • -<li>Posterior <a href="/articles/acetabulum">column</a>    </li>
  • -<li>Transverse</li>
  • -<li>Anterior column</li>
  • -<li>Anterior wall</li>
  • +<li>posterior wall    </li>
  • +<li>posterior <a href="/articles/acetabulum">column</a>    </li>
  • +<li>transverse</li>
  • +<li>anterior column</li>
  • +<li>anterior wall</li>
  • -<li>Posterior column + posterior wall fractures</li>
  • -<li>Transverse +  posterior wall fractures    </li>
  • +<li>posterior column + posterior wall fractures</li>
  • +<li>transverse +  posterior wall fractures    </li>
  • -<li>Anterior wall/column + posterior hemitransverse fracture   </li>
  • -<li>Bilateral-column fracture</li>
  • +<li>anterior wall/column + posterior hemi-transverse fracture   </li>
  • +<li>bilateral-column fracture</li>

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