Orthopedics · Pelvic and Acetabular Trauma

According to the Letournel classification of acetabular fractures, a transverse fracture plus posterior wall fracture is classified as:

  • A Associated (complex) fracture
  • B Elementary fracture
  • C Anterior column fracture
  • D T-type fracture
Correct answer: A. Associated (complex) fracture

Explanation

The Letournel-Judet classification divides acetabular fractures into five elementary types (posterior wall, posterior column, anterior wall, anterior column, transverse) and five associated types (posterior column + posterior wall, transverse + posterior wall, T-type, anterior column/wall + posterior hemitransverse, both-column). A transverse fracture combined with a posterior wall fracture is therefore an associated type. This distinction is clinically important because associated fractures involve more extensive disruption and require more complex surgical approaches.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

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