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
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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Written and medically reviewed by the StethoPrep medical team.