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Pelvis and Acetabulum

Session: Concurrent Breakout Session

Combined Pelvic Ring and Acetabulum Fractures: What I’ve Learned and What I Wish I Would Have Known Back Then

Thursday, October 19, 2023
2:00 PM – 3:00 PM PST
Location: 4B

    Moderator(s)

  • Michael Maceroli, MD

    Assistant Professor Orthopaedic Trauma
    Emory University / Grady Memorial Hospital
    Atlanta, Georgia, United States

    Disclosure(s): Stryker: Consultant (Ongoing)

    • Faculty(s)

  • JN

    Jason Nascone, MD

    Baltimore, Maryland, United States

    Disclosure(s): DepuySynthes: Consultant (Ongoing); Imagen: Stock Shareholder (excluding mutual funds) (Ongoing); Lincotec: Other Financial or Material Support (Ongoing); Osteocentric: Consultant (Ongoing)

  • Mark J. Gage, MD

    University of Maryland

    Disclosure(s): Arthrex: Consultant (Ongoing), Other Financial or Material Support (Ongoing); Elsevier: Other Financial or Material Support (Ongoing); Metalogix: Consultant (Ongoing); Restor3D: Consultant (Ongoing), ownership/equity (Ongoing), Stock Shareholder (excluding mutual funds) (Ongoing)

  • CK

    Conor P. Kleweno, MD

    Associate Professor
    University of Washington Department of Orthopaedics
    University of Washington Orthopaedics
    Seattle, Washington, United States

    Disclosure(s): SI-Bone: Consultant (Ongoing); Stryker Medical: Consultant (Ongoing)

  • Marcus Sciadini, MD

    Professor, Department of Orthopaedics University of Maryland School of Medicine Chief, Department of Orthopaedics University of Maryland Medical Center Midtown Campus Hospital
    University of Maryland School of Medicine, R Adams Cowley Shock Trauma Center
    Baltimore, Maryland, United States

    Disclosure(s): Globus Medical: Consultant (Ongoing); Stryker Orthopaedics: Consultant (Ongoing)

The goal of this breakout session is to provide treatment strategies for combined pelvic ring and acetabulum fractures. Presentations will be case-based and will comprehensively review management from initial temporization to strategies for definitive reconstruction. Strategies will focus on the latest decision-making and fixation options to maximize outcomes.

Combined pelvic ring and acetabulum fractures are extremely difficult and rare injuries that present unique challenges. Due the their relative infrequency, “ring-tabs” have not been a focus of discussion at national meetings or in peer-reviewed literature. That, combined with a steep learning curve, makes treating these injuries all the more difficult. The aim of this breakout session is to provide comprehensive strategies for initial management, surgical planning and definitive fixation through case-based lectures. Furthermore, the cases shown will highlight the key steps in those that went well and, more importantly, those that left room for improvement.

Learning Objectives:

At the completion of this activity, participants will be able to:
  • Provide a comprehensive review of combined pelvic ring and acetabulum fractures from initial temporization to order of operation and definitive fixation.
  • Discuss the different challenges faced when treating acetabular fractures complicated by both subtle and complex posterior pelvic ring injuries.
  • Highlight cases that helped shape the “learning curve” and how this has changed our practice.