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Joint Commission International.

Workshop on ACETABULAR FRACTURES

The hip joint is a major synovial joint in the human body, through which the lower limb is attached to the pelvic girdle. It is a ball and socket joint, where in the head of femur, which is spherical in shape articulates with the cup or bowl shaped acetabulum belonging to the pelvis.

Many times due to injury the head or neck of femur fractures, particularly in the elderly, due to osteoporosis. Fractures of the acetabulum occur primarily in young adults as a result of high-velocity trauma. These fractures are often associated with other life-threatening injuries.

Displacement of the fracture fragments leads to articular incongruity of the hip joint that results in abnormal pressure distribution on the articular cartilage surface. This can lead to rapid breakdown of the cartilage surface, resulting in disabling arthritis of the hip joint.[1] Anatomic reduction and stable fixation of the fracture, such that the femoral head is concentrically reduced under an adequate portion of the weightbearing dome of the acetabulum, is the treatment goal in these difficult fractures.

Since these happen in young individuals, there is a great need for perfect treatment, and as a 3 dimensional understanding and knowledge of the normal and the fracture anatomy is required, a work shop was conducted on 23rd Nov 2014 at the Apollo Hospital Hyderguda, under the guidance of a team of doctors. Dr Hari Sharma, a senior orthopedic consultant, working at this hospital has a vast experience in the treatment of these difficult injuries. Dr Nikhil Shah, also a senior consultant, coming from the famous Writington Hospital from UK and Dr Abhay Elhence from the AIIMS, Jodhpur and Dr Ashok Raju are the other members of the team. About 60 orthopedic surgeons from all over India attended this workshop to hone their skills in the treatment of this difficult technology.