• Posterior wall of the acetabulum – most common
  • Indications for operative intervention are Hip instability demonstrated on EUA, Hip incongruency due to intra-articular fragments, Fractures involving >50% of the posterior wall
  • Dynamic fluoroscopic stress testing under general anaesthesia should be the preferred method for the determination of hip stability status after posterior wall fractures of the acetabulum
  • Kocher Langenbock Approach used to fix posterior wall fractures
  • Complications following surgical fixation are injury to sciatic nerve , heterotopic ossification  and Osteonecrosis of the femoral head

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