Fractures and Fracture Dislocations

  • Dana C. Mears
  • Harry E. Rubash


Since Callisen first described a central acetabular fracture in 1788,9 the optimal form of management has remained controversial. Admittedly, there is a consensus that a minimally displaced acetabular fracture without dislocation of the femoral head has an excellent prognosis when it is managed nonoperatively by bed rest or by a short period of traction followed by a variable period of a partial weight-bearing gait.2,26 To attain reproducibly good results in the management of most intraarticular fractures it is generally agreed that perfect restoration of the alignment of the articular surfaces is highly desirable if not essential. Although this principle is rigorously accepted for most intraarticular fractures, it has remained controversial in the case of the displaced acetabular fracture. At first glance this exception is nonsensical. A review of the proponents of the nonoperative and the operative schools, however, provides an explanation for this controversy.


Femoral Head Pelvic Ring Acetabular Fracture Anterior Column Posterior Column 
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© Springer-Verlag New York Inc. 1987

Authors and Affiliations

  • Dana C. Mears
  • Harry E. Rubash

There are no affiliations available

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