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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.

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Shrestha SK. Letournel and Judet Classification of Acetabulum Fractures and Simplified Algorithm [Internet]. Epomedicine; 2026 Jul 5 [cited 2026 Nov 2]. Available from: https://epomedicine.com/fellowship-blog/letournel-and-judet-classification-of-acetabulum-fractures-and-simplified-algorithm/.

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