Author summary
A classification inclusive of all forms of acetabular fracture was sought to aid in
determining the best surgical approach. Understanding of the pathologic anatomy may
be achieved through four x-ray views, allowing determination of the optimal approach
for fixation of the fracture with safety and ease. Perfect anatomical reduction with
surgery is the goal but on occasion the conservative approach may give a satisfactory
clinical outcome. The combined surgical experience of over 22 years of Emile Letournel
and Robert Judet with a series of patients is presented in connection with the development
of the classification system and evolution of surgical approaches.
