Posterior wall fractures are the most common type of acetabular fracture. Management of posterior wall fractures is dictated by the extent of posterior wall involvement, with those involving >40-50% best treated with ORIF. Management of fractures involving 20-40% of the posterior wall, on the other hand, should be based on hip stability. Assessment of hip instability with dynamic stress views is helpful to determine which posterior wall fractures are unstable and therefore require open reduction
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