ABSTRACT
Initial management should therefore focus on identification and prioritization of all injuries, with definitive treatment of the acetabulum delayed, where necessary, until the patient is stable and appropriate surgical expertise is available. The goal of acetabular fracture management is to prevent post-traumatic osteoarthritis and long-term disability by restoring and maintaining the congruity and stability of the hip joint. The evaluation and treatment principles continue to follow those established by Letournel and Judet. The acetabulum is formed from the three bones of the innominate pelvis the ilium, ischium and pubis. The acetabulum lies in the axilla of the Y, and the roof of the acetabulum forms the keystone of an arch. A computed tomography scan should be performed within 24 hours and discussed with a specialist. Additionally, pelvic ring injuries should be identified, the femoral head studied and its congruency within the acetabulum assessed.
