Acetabular Fractures - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes fracture types of the Acetabulum.
The hip joint is a ball and socket joint where the femoral head is contained within the acetabulum. The acetabulum is round in shape and covered with cartilage which forms the articular surface of the hip joint.
Labrum is a ring of shock absorbing cartilage that surrounds the acetabulum. The sciatic nerve is close to the acetabulum and it can be injured.
Acetabular fractures commonly occur due to high velocity trauma.
Types of acetabular fractures
•Anterior wall fracture
•Anterior column fracture
•Posterior wall fracture
•Posterior column fracture
•Transverse fracture
•T-shape fracture
•Both column fracture
Posterior wall fractures are the most common acetabular fractures. The posterior wall fracture may be a simple fracture or associated with dislocation of the femoral head.
The obturator view radiograph will clearly show the posterior wall fracture. CT scan is the study of choice.
In case of fracture dislocation, reduce the hip immediately and fix the fracture later. Always check sciatic nerve function (dorsiflexion of ankle & toes). Peroneal division could be affected.
Posterior wall fracture with marginal impaction:
•Reduce the fracture
•Lift cartilage and apply bone graft.
•Posterior plate fixation.
Complications of acetabular fractures
•Arthritis (post-traumatic)
•Degenerative joint disease
•Avascular necrosis: death of bone due to interruption of the blood supply.
•Myositis ossificans: ossification occurs at the site of injury leading to restriction of motion.

[@rumit9946]

Best educational orthopedic videos on youtube!!!

[@PeterHolko]

I had an acetabular fracture in 05 at the age of 23 and have probably 80% motion. I'm still skiing and playing tennis and greatful for the amazing work my surgery did.

[@zmurphy4657]

Peter Holko good to hear this, I broke mine 4 months ago and I’m 24, I’m worried about long term, I have no pain now and just started lifting weights again

[@josephedwards8992]

Good to hear I'm 25 and survived a 27ft fall at work and broke my acetabulum good to hear you recovered well gives me hope

[@sovietwardog4871]

@@josephedwards8992 damn man I fell 45 feet or so off a cliff and broke mine still have a lot of pain a year later

[@rakeshgorupati]

@@zmurphy4657 total recovey and walking running how many days bro
My surgery posterior wall fracture now this 45days

[@zmurphy4657]

@@rakeshgorupati its been a little over 2 years now, i have some problems, im not 100% but i still lift heavy in the gym and squat, i do everything i did before but sometimes there is a little discomfort or pain from my hamstring or maybe the plate and screws i have no clue what the pain is actually, havnt had the dr lok at it in well over a year

[@soukainalyazidi8672]

Thank you a lot doctor for your great work it helps me a lot to understand and memorize this lesson

[@romeo2011686]

Thanks dr.nabil
that was easy and illustrated so well
May I add an information about complication here
some acetabular fracture can cause multiple tears in internal iliac artery and hemostasis occurs under pressure of hematoma and pelvic components and with exposure this hematoma can dislodge with anterior approach and massive bleeding from inside pelvis
CT angio in pelvic vessels will be very beneficial in this fracture

[@Abdul786Salam]

rami attia this is a short video, i understand ur point but if u want more info KAPLAN video series are good

[@74pinki]

excellent educational video

[@rammsteina5633]

Thanks alot . It is very useful

[@uni.Information]

Thank you sir

[@chinafox1]

very impressive pictures to show the fracture !
great video! i like it.

[@maryamalrawi6645]

Woow you are great thank you so much 😍❤️❤️

[@Naserfuaz]

doctor Nabil Ebraheim can you help us to give a good definition to the weight bearing area of the acetabulum?

[@chawkisahnoun6091]

Thank you so much doc .. that helps a lot

[@nabilebraheim]

I'm sorry to hear that. See a specialist

[@nabilebraheim]

@nebraheim thanks

[@puryokoputrahadi1906]

Hi Doctor Nabil Ebraheim, thankyou for the video, its very helpful me
I have question Doctor
i have family and he had posterior wall fracture and already fixed by posterior plate fixation. The question is when he can practice walking?
thank you

[@nbharshavardhanreddy]

Thank you so much sir.. Very informative

[@nabilebraheim]

@ELF3945 thanks
pain in the hip
minimal bleeding

[@mimabelo4311]

thank you doctor!!

[@JavierOchoaBrezmes]

very good video . Thank you a lot!

[@liuyingsong]

thanks

[@ELF3945]

Very nice. Are there any physical exam findings that might suggest acetabular fracture that may otherwise go unnoticed? Also, how often do you encounter massive bleeding in these types of fractures?

[@niyamath20]

very succinct!!!

[@nabilebraheim]

@TCMAUMEE thanks

[@nabilebraheim]

@liuyingsong great

[@nabilebraheim]

@dhx9 great

[@nabilebraheim]

@mkhristov great

[@nabilebraheim]

@Nickliu2010 thanks

[@stephenswetala711]

Noted

[@kimberface]

I had acetabular fracture in 09, now I have 0 range of motion! Im thinking of having a hip replacement. I also have heterotopic ossification :(

[@nabilebraheim]

@chinafox1 thanks

[@nabilebraheim]

@rumit99 thanks

[@umarsharif8293]

my pubic bone was fatcher how much time it's take to heel

[@namitadas7891]

hi sir i am frm india assam nd sir i hav faced this problm give me rply

[@rvcool2646]

Hii I'm currently in this did you feel hip stiffness after start walking with walker and seating in chair? Mene abhi abhi chlna betnna start kiya he aur mujhe us area me thoda tight sa mahesus hota hai

[@meryamlazrak1329]

thank you sir

[@georgidominic2643]

Thanks Sir