Skip to content
Epomedicine

Mnemonics, Simplified Concepts & Thoughts

Epomedicine

Mnemonics, Simplified Concepts & Thoughts

Letournel and Judet Classification of Acetabulum Fractures and Simplified Algorithm

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Jul 5, 2026Jul 5, 2026

5 Simple or Elementary fracture types: 20% of acetabular fractures

  1. Posterior wall (PW)
  2. Posterior column (PC)
  3. Anterior wall (AW)
  4. Anterior column (AC)
  5. pure Transverse (pT)

5 Combined fracture types: 80% of acetabular fractures

  1. Posterior column and posterior wall (PCPW)
  2. Transverse and posterior wall (TPW)
  3. T-shaped (T)
  4. Anterior column and posterior hemitransverse (ACPHT)
  5. Associated both column (ABC)
letournel judet classification
Mansi, Zieda,*; Aymen, Ben Mahmouda; Abdelkader, Tounsia; Ali, Hagguib; Wajdi, Chermitic; Bacem, Zaidid. Bilateral acetabular fractures (case report). International Journal of Surgery Case Reports 116(C):109424, March 2024. | DOI: 10.1016/j.ijscr.2024.109424 [CC-BY NC-ND 4.0]

Algorithm for acetabular fracture classification

Iliopectineal/Ilioischial line breakageObturator ring (inferior pubic ramus)Posterior wallIliumSpur signFracture classification
Isolated iliopectineal lineIntactAnterior wall (AW)
BrokenAnterior column (AC)
Isolated ilioischial lineIntactPosterior wall (PW)
BrokenIntactPosterior column (PC)
BrokenBrokenPosterior column + Posterior wall (PCPW)
BothIntactIntactpure Transverse (pT)
IntactBrokenTransverse + Posterior wall (TPW)
BrokenIntactT-type (T)
BrokenBrokenAbsentAnterior column + Posterior hemitransverse (ACPHT)
BrokenBrokenPresentAssociated both column (ABC)
dr. sulabh kumar shrestha
Dr. Sulabh Kumar Shrestha, MS Orthopedics

He is the section editor of Orthopedics in Epomedicine. He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music. He is currently pursuing Fellowship in Hip, Pelvi-acetabulum and Arthroplasty at B&B Hospital.

  • Facebook
  • Twitter
Fellowship Blog Pelvi-acetabulum surgery

Post navigation

Previous post
Next post

Related Posts

Fellowship Blog

When Fixing Bones Meets Nerves: A Lesson from the Cubital Tunnel

Nov 5, 2025Nov 5, 2025

Date of writing: June 17, 2025 Day 3 of my pre-fellowship was unlike the others – not because I scrubbed in for an arthroplasty or a hip case (there weren’t any today), but because I witnessed firsthand how a routine trauma case can spiral into an anatomical and surgical challenge….

Read More
Fellowship Blog

Simultaneous Bilateral Total Knee Arthroplasty (SBTKA): A Practical Perspective

May 4, 2026May 4, 2026

Recently, we operated on a 58-year-old female patient with advanced bilateral knee osteoarthritis (OA). She underwent simultaneous bilateral total knee arthroplasty (TKA) using a medial parapatellar approach. Both femoral components were size 3, tibial components size 3, and a 10mm polyethylene insert was used on each side. Some practical considerations…

Read More
Fellowship Blog

When Locking Screws Refuse to Budge – Techniques for Removing Jammed or Stripped Screws

Dec 6, 2025Dec 6, 2025

Written on August 10, 2025 And once again, today’s case reminded me that removing orthopedic implants can be more challenging than inserting them – especially when faced with a stubborn, stripped or jammed locking screw. We operated on a 25-year-old female with a united distal radius fracture, aiming to remove…

Read More

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Shrestha SK. Letournel and Judet Classification of Acetabulum Fractures and Simplified Algorithm [Internet]. Epomedicine; 2026 Jul 5 [cited 2026 Oct 11]. Available from: https://epomedicine.com/fellowship-blog/letournel-and-judet-classification-of-acetabulum-fractures-and-simplified-algorithm/.

Pre-clinical (Basic Sciences)

Anatomy

Biochemistry

Community medicine (PSM)

Embryology

Microbiology

Pathology

Pharmacology

Physiology

Clinical Sciences

Anesthesia

Dermatology

Emergency medicine

Forensic

Internal medicine

Gynecology & Obstetrics

Oncology

Ophthalmology

Orthopedics

Otorhinolaryngology (ENT)

Pediatrics

Psychiatry

Radiology

Surgery

RSS feed: Ask Epomedicine Ask Epomedicine

  • What to study for Clinical examination in Orthopedics?
  • What is the mechanism of AVNRT?

Epomedicine weekly

  • About Epomedicine
  • Contact Us
  • Author Guidelines
  • Submit Article
  • Editorial Board
  • USMLE
  • MRCS
  • Thesis
©2026 Epomedicine | WordPress Theme by SuperbThemes