[Transverse and T fractures with fracture of the posterior wall of the acetabulum. Results of orthopedic and surgical treatment. Apropos of 52 cases]. / Fractures transversales et en T avec fracture de la colonne postérieure du cotyle. Résultats des traitements orthopédique et chirurgical. A propos de 52 cas.

ABSTRACT

Fifty two cases of transverse and T fractures associated with a posterior wall fracture of the acetabulum were followed after conservative and surgical treatment. The mean follow-up was 3.5 years. There was marked displacement in 71% of cases, and a transverse fracture of the acetabular roof in 48% of case. There was no joint congruence in 50% of cases. The conservative and surgical results are the same without anatomical reduction, but the functional result seems better after surgical treatment with perfect reduction. However conservative management is necessary when anatomical reduction is impossible.