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Acetabular Fractures in the Elderly by Derek Butterwick, Steve Papp, Wade Gofton, Allan Liew, and Paul E. Beaulé J Bone Joint Surg Am Volume 97(9):758-768 May 6, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Figs. 1-A and 1-B Preoperative anteroposterior pelvic radiograph (Fig. 1-A) demonstrating the fracture with a so-called gull sign, representing superomedial dome impaction (large black arrow) and quadrilateral plate displacement (thin white arrow), and a th... Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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The superomedial dome fragment is reduced via a bone tamp through an ilioinguinal approach. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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The quadrilateral plate is reduced via an offset clamp. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Anterior column plating and periarticular screw fixation permit an acceptable radiographic result. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Anteroposterior radiograph made after the injury demonstrating secondary congruence. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Anteroposterior radiograph made six months after the injury showing acceptable radiographic results. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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The Levine approach with an incision along the iliac crest to the anterior superior iliac spine and extending distally over the Smith-Petersen interval. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Preoperative anteroposterior radiograph. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Anteroposterior radiograph made after treatment with anterior column fixation and an acute total hip arthroplasty using a titanium cage through a Levine anterior approach. Derek Butterwick et al. J Bone Joint Surg Am 2015;97:758- 768 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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