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Central Acetabular Fractures A REVIEW OF THIRTY-FIVE CASES
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Veterans Administration Hospital, Bronx 68, New York Hospital for Special Surgery, New York 21, N.Y.
1964 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1964 Jun 01;46(4):695-714
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1. In approximately 75 per cent of patients who have severe fractures of the inner acetabular wall and are poor surgical risks because of associated injuries or other reasons, a satisfactory result may be anticipated after closed treatment. Even fractures which remain unreduced may not cause pain and significant disability for many years.

2. The displaced comminuted inner wall of the acetabulum has a remarkable capacity to re-form and re-establish a functionally satisfactory joint.

3. Displaced non-comminuted fractures with an intact femoral head may in some carefully selected instances be suitable for open reduction and internal fixation.

4. Gross interposed bone fragments and fracture of the femoral head may require a cup arthroplasty.

5. Unsatisfactory results after closed treatment may be salvaged by delayed, carefully selected open procedures.

6. Serupulous avoidance of early weight-bearing is essential in all forms of treatment of fractures involving the inner acetabular wall.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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