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Multiplanar computed tomography: A multidimensional tool for evaluation and treatment of acetabular fractures

  • Bert R. Mandelbaum
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Departments of Orthopaedic Surgery, The Johns Hopkins Hospital and the Maryland Institute of Emergency Medical Systems Services, Baltimore, Maryland, USA
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  • Donna Magid
    Correspondence
    Address reprint requests to: Donna Magid, MD, Department of Radiology, The Johns Hopkins Medical Institutions, 600 N. Wolfe Street, Baltimore, Maryland 21205.
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Departments of Orthopaedic Surgery, The Johns Hopkins Hospital and the Maryland Institute of Emergency Medical Systems Services, Baltimore, Maryland, USA
    Search for articles by this author
  • Elliot K. Fishman
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Departments of Orthopaedic Surgery, The Johns Hopkins Hospital and the Maryland Institute of Emergency Medical Systems Services, Baltimore, Maryland, USA
    Search for articles by this author
  • Andrew R. Burgess
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Departments of Orthopaedic Surgery, The Johns Hopkins Hospital and the Maryland Institute of Emergency Medical Systems Services, Baltimore, Maryland, USA
    Search for articles by this author
  • Michael Bosse
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Departments of Orthopaedic Surgery, The Johns Hopkins Hospital and the Maryland Institute of Emergency Medical Systems Services, Baltimore, Maryland, USA
    Search for articles by this author
  • Andrew F. Brooker Jr
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Departments of Orthopaedic Surgery, The Johns Hopkins Hospital and the Maryland Institute of Emergency Medical Systems Services, Baltimore, Maryland, USA
    Search for articles by this author
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      Abstract

      Fractures of the acetabulum present a formidable diagnostic and therapeutic challenge. Improved management has decreased the mortality associated with these injuries. Prolonged survival of the severely injured has raised the associated morbidity. To improve diagnosis and treatment in these patients, computed tomography with multiplanar reconstructions has been utilized in the pre- and post- operative period in 30 patients. This refinement provides a precise, accurate, and reproducible method of establishing the diagnostic data base. Consequently it is possible to better define the pathoanatomy, make decisions as to the best technique for intervention, and facilitate execution of these techniques by improved preoperative planning and postintervention assessment. It is concluded that computed tomography with multiplanar reconstructions optimizes the ability to manage these injuries.

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