Modified pararectus approach for treatment of atypical acetabular anterior wall fracture: A case report
| Autor: | Jun Huang, Guangxu He, Muliang Ding, Deye Song, Junjie Wang, Jiangdong Ni, Wen-Zhao Li |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
Orthodontics business.industry Anterior wall fracture Acetabulum Modified General Medicine equipment and supplies musculoskeletal system 03 medical and health sciences Fracture surgical procedures operative 0302 clinical medicine 030220 oncology & carcinogenesis Case report Fracture (geology) Pararectus approach Medicine 030211 gastroenterology & hepatology business |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | BACKGROUND Acetabular anterior wall fracture with preservation of the pelvic brim is extremely rare. It is different from anterior wall fracture classified by Judet and Letournel. Few studies have reported cases treated by open reduction and internal fixation via the Smith-Petersen or iliofemoral approach. CASE SUMMARY We report a 48-year-old Chinese woman who had difficulty moving her right hip from abduction and external rotation after falling from 3 m. Pelvic radiograph and three-dimensional reconstruction of computed tomography revealed acetabular anterior wall fractures combined with fractures of the anterior inferior iliac spine and the iliac wing but not involving the pelvic brim. First, the patient underwent interim management by closed reduction of the hip dislocation and skin traction for 6 d. Then, we used a modified pararectus approach for treatment to fix the acetabular fractures with a reconstruction plate and nonlocking T-shape plate. At the 9-mo follow-up, the patient could walk painlessly without necrosis of the femoral head or heterotopic ossification, and the X-rays and computed tomography scan reconstructions showed good bone union. CONCLUSION The modified pararectus approach described here can facilitate exposure, reduction, and osteosynthesis for atypical acetabular fracture with less invasiveness. |
| Databáze: | OpenAIRE |
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