A 35 year-old female fell from a standing height and felt an immediate onset of severe right-sided hip pain. She was taken to a local hospital where x-ray and CT scan evaluation revealed a right-sided Posterior Wall acetabular fracture and associated posterior hip dislocation. The local medical team then contacted the NYOTS and a patient transfer was arranged following placement of skelital traction. Open Reduction and Internal Fixation (ORIF) was then performed with placement of 3 spring plates along the posterior wall fragment and an anatomic reduction was obtained. She returned for regular follow-up and healed uneventfully and at her latest follow-up visit at 5 months she presents with excellent radiographic and clinical results including a healed acetabular fracture, complete resolution of hip pain, full range of hip motion and return to her pre-injury activities.
IMAGES
- Figure A Anteroposterior (AP), and Judet radiographic views (Obturator Oblique and Iliac Oblique views) revealing a right-sided Posterior Wall acetabular fracture and associated posterior hip dislocation.
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- Figure B CT scan images including 3D CT reconstruction image further dilineating the fracture pattern.
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- Figure C Postoperative AP and 3D CT reconstruction image revealing an acceptable reduction and placement of hardware.
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- Figure D AP, and Judet radiographic views (Obturator Oblique and Iliac Oblique views) at 5 months illustrating a healed Posterior Wall acetabular fracture.
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