Acetabular Fractures.

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Abstract

Conflict of interest statement: Disclosure: Stephen Hoge declares no relevant financial relationships with ineligible companies. Disclosure: Manjeera Rednam declares no relevant financial relationships with ineligible companies. Disclosure: Brad Chauvin declares no relevant financial relationships with ineligible companies. 16. Malays Orthop J. 2021 Jul;15(2):9-11. doi: 10.5704/MOJ.2107.002. Is "Transcolumnar" a better Terminology than "Transverse" in Judet-Letournel Classification of Acetabular Fractures? Sood A(1). Author information: (1)Department of Orthopaedics, International Medical University, Kuala Lumpur, Malaysia. Acetabular fractures are among the most complex and challenging injuries for orthopaedic surgeons. The choice of surgical treatment in acetabular fracture is important for optimal outcomes. It requires an understanding of the precise outline of the fracture by appropriate classification because it is important for decision making. For this purpose, the classification proposed by Judet and Letournel in 1963 remains the gold standard despite its shortcoming, which are attributed to the inclusion of multiple criteria including anatomical, directional and geometrical. This complex classification remains challenging especially to lesser experienced surgeons. In this article, a new method for classification of acetabulum fractures is proposed. It places posterior column with posterior wall fractures to simple fractures instead of complex fractures in Judet and Letournel classification. More importantly the proposed new classification renames "transverse fracture" as "transcolumnar fracture" to better represent anatomical structure rather than morphology. It is expected that by coining the new term "transcolumnar "it will be easy to understand different types of acetabular fractures. Especially the confusion between "transverse" and "both column fractures" would not be a concern in future. © 2021 Malaysian Orthopaedic Association (MOA). All Rights Reserved. DOI: 10.5704/MOJ.2107.002 PMCID: PMC8381663